ELECTION NOT TO DISCLOSE CERTAIN INFORMATION
‘THE STATE OF TEXAS 8
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COUNTY OF MONTGOMERY = §
Pursuant to §552.024, Texas Government Code, I, the undersigned, hereby declare my
desire to withhold public access to information in the custody of Montgomery County Municipal
Utility District No. 60, of Montgomery County, Texas ("District") relating to:
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my home address
my home telephone number
my social security number
information that reveals whether T have family members
emergency contact information
I further declare that this election to withhold such information has been made not later
than the 14th day after the date upon which I was elected to the Board of Directors of the
District.
‘anda George 7
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