County of Goliad

COUNTY JUDGE

OFFICE OF THE

REQUEST TO BE PLACED ON THE GOLIAD COUNTY COMMISSIONERS’ COURT AGENDA

DATE OF COMMISSIONERS’ COURT MEETING:  			 	

This form along with any information that needs to be included in the Commissioners Court Agenda Packet is to be submitted to Pam Long in the County Judge’s office no later than 5 p.m. on Wednesday prior to the Commissioners Court date.(Only one copy)  Information under the Consent Agenda  is needed before noon on Thursday prior to the meeting. (Only one copy) All contracts should be accompanied by the completed county attorney’s review, signed by the County Attorney.   

Please place each agenda item on a separate request form.

Agenda Item Request:

Executive Summary (explanation of request):

Judge/Commissioner Approval for Inclusion on Agenda:

		         ___________________
Judge/Commissioner Signature	           Date

Date of Request: ___________________________	 

Name of Person Making Request: _______________________Phone No.: __________________     

Will anyone else be addressing this item? _______  If so, Who?  _________________________