My WebLink
|
Help
|
About
|
Sign Out
Home
2009_0309_Packet
Roseville
>
City Council
>
City Council Meeting Packets
>
2009
>
2009_0309_Packet
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/6/2012 2:47:18 PM
Creation date
4/20/2009 1:00:28 PM
Metadata
Fields
Template:
General
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
222
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
�oseville if I have any questzons z�garding the publ�c or prava�e nature of the <br />infarmation provided.: Yes <br />I unders�and that the City will not publish my phone or fax numbers or email address <br />wi�hout my authorization and da hereby allow the City to publish (check all that apply).; <br />Home telephone number, Wor� telephone number, Work fax number, Home email address, Wark <br />email address <br />Daytime Phone: 65�-484-3813 <br />Evening Phone: 651-484-3813 <br />Cel� Phone: <br />Horne Phone (it dif�erentj: <br />Work Fhane (if dif�erent): 612�721-0657 <br />�ome Fax: <br />Work Fax: 612y�28-1216 <br />Home EmaiT: j.bold�@usfarnzly,net <br />work Email: jeff.boldt�state.mn.us <br />Student Application: N� <br />If yes, please list your gradee <br />May we contact you using your work email or fax?: Yes <br />I have read and understand the state.ments on this form; �nd I hereby swear or affirm tha� <br />the statements on this form are true. : Y�s <br />AdditionaT xntarmation: <br />Form submitted on: 2/Z5/2009 8:2fl:42 PM <br />Submitted from IP Address: <br />Form Address: http://www.ci.roseville.mn.us/forms.asp?�I�=237 <br />� <br />
The URL can be used to link to this page
Your browser does not support the video tag.