PUBLIC HEARING REPLY FORM
Persons invited to present testimony at the public hearings on the New York State Department of Transportation Federal Stimulus Projects and New York State Department of Transportation Five-Year Capital Program are requested to complete this reply form as soon as possible and mail, e-mail or fax it to:
Najay Roache
Committee Assistant
Assembly Committee on Transportation
AESOB Suite 1147, 80 So. Swan Street
Albany, New York 12248
E-mail: Roachen@assembly.state.ny.us
Phone: (518) 455-4881
Fax: (518) 455-4128
I plan to attend the following public hearing on the New York State Department of Transportation Federal Stimulus Projects
and New York State Department of Transportation Five-Year Capital Program to be conducted by the Assembly
Committee on Transportation:
____ Albany, Thursday, November 12, 2009
____ Rochester, Tuesday, December 8, 2009
I have been invited to make a public statement at the hearings. My statement will be limited to 10
minutes, and I will answer any questions which may arise. I will provide 10 copies of my prepared statement.
I will address my remarks to the following subjects:
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I do not plan to attend the above hearings.
I would like to be added to the Committee mailing list for notices and reports.
I would like to be removed from the Committee mailing list.
I will require assistance and/or handicapped accessibility information. Please specify the type of
assistance required:
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NAME:
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TITLE:
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ORGANIZATION:
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ADDRESS:
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E-MAIL:
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TELEPHONE:
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FAX TELEPHONE:
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