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4132� , <br /> OMB No. 0607-0795 <br /> FORM D-1668 U.S. DEPARTMENT OF COMMERCE ENTITY ID <br /> {6-12-2007) Economics artd Statistics Administration <br /> U.S.CENSUS BllREAU <br /> REGISTRATION FORM <br /> LOCAL UPDATE OF CENSUS ADDRESSES (LUCA) PROGRAM <br /> 2010 Decennial Census PL1718823 <br /> Please complete this form and return it #o your U.S. Census Bureau Regional Office. <br /> . . • . <br /> 1. �YES! Our government would like to participate in #he 2010 Decennial Census tUCA Program, <br /> 2. ❑ NO, we are not able to participate. Please mark (X) aH that apply below. <br /> a. ❑ Insufficient staff f. ❑ Restrictions on the use of the Census Bureau's <br /> b. ❑Lack of funds address lis#for other purposes <br /> c. ❑ No time/Too busy 9• ❑ Other reason— Specify(Please print)� <br /> d. ❑ No local address list available <br /> �. ❑Concerns abou# the security and <br /> confiden#iality of the Census Bureau's <br /> address list <br /> We rely on your comments to help us improve fu#ure LUCA programs. <br /> � • • � • • <br /> 1. Name of participating government <br /> CITY OF DECATUR, ILLINOIS <br /> 2. Printed name of Highest Elected/Appoin#ed Official— First, middle initial, last <br /> Paul Osborne <br /> 3. Si irst, middle ' 'tial, last <br /> 4. Posi#ion- Governor, Commissioner, Mayor, Supervisor, etc. <br /> Mayor, City of Decatur, IZlinois <br /> 5. 7elephone 6. E-mail address 7, Date <br /> Area code Number Month Day Year <br /> 2 1 7 — 4 2 4 — 2 8 0 4 mayorosborne@aol.com 1 0 1 6 <br /> • . - . <br /> - . � � � - . . <br /> . . . . . . <br /> 1. Name— First, middle initial, last <br /> ��,�as�dh� �:� n a� a--r�" � <br /> 2. Position— Director, ssessor, Planner, etc. . <br /> Gj t S l 0.v�n�-� <br /> 3. Department, Organization, or Agency name <br /> �e.o�o�-rn ►c, a-r�d U�-ban D-�"�1 ��4- D. v�}�-�-" <br /> Number and street name <br /> 4. Mailing ( �a'� �� .��1Sar� � �0.�c.L <br /> address City State ZIP Code <br /> �j�--e��--v,�- � I t— � �2, 2..� <br /> Number and street name <br /> 5. Delivery � ���`1 K' `��-� p�0.. <br /> address* City c State ZIP Code <br /> ,.� � � 1 L f ��. 5� 6 <br /> *The Census Bureau will ship all materials via FedEx. <br /> FedEx witl not deliver to PO Box numbers or P�ZIP Codes. <br /> USCENSUSBUREAU <br />