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2. Name of employee (if known)
3. Department (if known)
   -- Select One --City Manager's OfficeHuman ResourcesCity Attorney's OfficeCity Clerk's OfficeCommunity DevelopmentFinanceFire DepartmentPolice DepartmentPublic Works
5. What would you like to commend about the employee's performance?
7. I give permission for the City of Carbondale to publicly display my above submission on the City's website. I understand that my personal information such as name and address will NOT be published, only the story submitted.*

   1. Yes
   2. No
9. OPTIONAL:
11. Name
12. Email Address
14. Address
16. City
17. State
18. Zip Code
20. Phone Number
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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