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COMPLAINT FORM
CITY OF DALLAS
A.
COMPLAINANT INFORMATION
2. Your
3. Your
4.
Gil-\ nome
g72-503-6338
cetr
Home
dsth(circre
one)
6. Emailaddress:
tom@carselaw.com
City of Dallas
City Secretary's Office
1of 5
Complaint Form
Ethics Advisory Commission
REV'10/15
Before me the undersigned authority, on the 26th day of Auqust , 2016, personally
om L/arse.
Carse
appeared, .lTom
, known to me to be the person whose name is
subscribed hereto, and being duly sworn stated that such facts are true and correct, or, to the
best of his/her knowledge, formed after an inquiry reasonable under the circumstances, the
Notary Public
Dallas
County, Texas
Novembor20,2017
My Commission expires:
November 20,2017
iglltote:, Section 3.2 of the Ethics Advisory Commission Rules of procedure states that
"supplements to a complaint may only be filed within seven days after the
city secretary's
acceptance of the original completed complaint.,,
S.n9-u]{.voy_f,9y9 any questions concerning this form, please contact the City Secretary,s
Office,
at (2141670-3738 during regular business hours (g:1Sam 5:1Spm).
-
Upon completing ALL sections of this form, please hand deliver or send by certified mail with
any attachments to:
CIry HALL
1500 Marilla Avenue - Suite SDS
Dallas, TX 75201
City of Dallas
City Secretary's Office
5of5
Complaint Form
Ethics Advisory Commission
REV 10/15
Before me the undersigned authority, on the 26th day of Auqust , 2016, personally
orn, uarse.
Carse
appeared, .lTom
, known to me to be the person whose name is
subscribed hereto, and being duly sworn stated that such facts are true and correct, or, to the
best of his/her knowledge, formed after an inquiry reasonable under the circumstances, the
Notary Public
Dallas
County, Texas
November20,20l7
My Commission expires:
November 20,2017
Srcigllgte:,
Section 3.2 of the Ethics Advisory Commission Rutes of procedure states that
"supplements to a complaint may only be filed within seven days after the city
secretary,s
acceptance of the original completed complaint.,,
S.h-o]]9.Voy f,9y9 any questions concerning this form, please contact the City Secretary,s
Office,
at (2141670-3738 during regular business hours (g:15am 5:1Spm).
-
Upon completing ALL sections of this form, please hand deliver or send by certified mail with
any attachments to:
5of5
Complaint Form
Ethics Advisory Commission
REV 10/15
Tom Carse
Tom Carse