Notice of Public Hearing -

PUBLIC HEARING REPLY FORM

Persons invited to present testimony at the public hearing on the Department of Transportation Two-Year Capital Program are requested to complete this reply form as soon as possible and mail, email or fax it to:

Najay Roache
Committee Assistant
Assembly Committee on Transportation
AESOB Suite 1147, 80 So. Swan Street
Albany, New York 12248
Email: Roachen@assembly.state.ny.us
Phone: (518) 455-4881
Fax: (518) 455-4128

I plan to attend the public hearing on the Department of Transportation Two-Year Capital Program to be conducted by the Assembly Committee on Transportation on Tuesday, December 7, 2010.

I have been invited to make a public statement at the hearing. 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 hearing.

I would like to be added to the Committee's mailing list for notices and reports.

I would like to be removed from the Committee's 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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