PDF-DOS-1692-f-l (Rev. 09/14)SENATE or ASSEMBLY MEMBER, OFFICER or EMPLOYE

Author : cheryl-pisano | Published Date : 2016-07-02

Signature of AppointeeMiddle InitialFirst NameLast Nameaccording to the best of my ability Xday ss TYPE ALL INFORMATION SIGN IN BLACK INK Go to wwwdosnygov for

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DOS-1692-f-l (Rev. 09/14)SENATE or ASSEMBLY MEMBER, OFFICER or EMPLOYE: Transcript

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"DOS-1692-f-l (Rev. 09/14)SENATE or ASSEMBLY MEMBER, OFFICER or EMPLOYE"The content belongs to its owner. You may download and print it for personal use, without modification, and keep all copyright notices. By downloading, you agree to these terms.