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EXHIBIT AFORMCONFLICT OF INTEREST QUESTIONNAIRECIQFor vendor doing business with local governmental entity OFFICE USE OnlyFans questionnaire reflects changes made to the law by H.B. 23, 84th Leg.,

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Start by writing the official name of the local government.

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Citizens looking to contact or interact with the local government for services or information.

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The name of the local government refers to the specific municipality, city, or town that is being identified.

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