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2. Recipient/s*

   1. County Judge - Andy Eads
   2. Commissioner Precinct 1 - Ryan Williams
   3. Commissioner Precinct 2 - Kevin Falconer
   4. Commissioner Precinct 3 - Bobbie J. Mitchell
   5. Commissioner Precinct 4 - Dianne Edmondson

   Check the boxes of the member/s you wish to contact.

4. Contact Information
6. Name*
8. Address
10. City
11. State
12. Zip Code
14. Phone Number
15. Email Address*
17. Can we contact you?

    1. Please contact me regarding this matter
19. Subject
21. Comment
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23. 1. Receive an email copy of this form.
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