City of Walthourville Sarah B. Hayes Mayor "Always Moving While Improving" AGENDA  City Council Mitchell Boston Patrick Underwood Bridgetle Kelly Luciria L. Lovette Robert (Bob) Dodd  City Administration Shana T Moss, Cily Clerk Christopher Reed, ChiefofPolice Nicholas Maxvell, Fire Chief Dave Martin, Public Works Luke R. Moses, Cily Attorney  May 28, 2024 @ 6:00 PM  I.  Call to Order II. Roll Call to Order IV. Pledge of Allegiance V. Approval of Agenda VII. Presentations:  Mayor Sarah B. Hayes  Appointee In Unison Councilmembers Councilmembers Mrs. Krystal B. Hart Councilman Robert Dodd Action Items Mayor Sarah B. Hayes Ms. Lori Parks  VI. Approval of Minutes (May 14,2024)  1.1 Liberty Transit 2. Liberty County EMA VIII. Agenda Items 1.CPA Firm 2. LCPC  Business License Request for Tee-lt-Up-Lawneare  3. City of Walthourville ATT&T-First Net 4. City of Walthourville LMIG IX. Department Reports X. Mayor and Council Comments XI. Citizens Comments XII. Executive Session XIII. Adjournment  ChierChristopher Reed Mayor and Council City of Walthourville Elected Officials Walthourville Citizens  None  Councilmembers  Ifan Executive. Session is needed it will be called for Litigation, Real Estate or Personnel  All Meeting are held at the Walthourville Police Department.    City of Walthourville Mayor and Council Meeting Minutes May 14, 2024 @ 6:00PM Walthourville Police Department  I. Call to Order: The Meeting was called to order at 6:001 PM by Mayor Sarah B. Hayes. II. Roll Call was taken by the City Clerk with the following members present:  Mayor Sarah B. Hayes Councilman Mitchell Boston Councilman Bridgette Kelly  Mayor Pro Tem Luciria L. Lovette Councilman Patrick. Underwood Councilman Robert Dodd  Councilman Mitchell Boston was present via telephone The: attendance of the council constituted a quorum.  Attorney Andrew Ruberti was present ini the absence of Attorney Luke R. Moses  III. The Invocation was given by Mayor Hayes. IV. Pledge of Allegiance was recited in unison.  V. Adoption ofMeeting Agenda: The motion to approve the agenda was made by Councilwoman Kelly and VI. Adoption of the Regular Meeting Minutes from the April 23, 2024, Meeting. The motion to approve was  the second was added by Councilwoman Underwood.  Vote: 5-0: Motion Carried Unanimously  made by Councilman Dodd and the second was added by Councilman Underwood.  Vote: 4-1: Motion Carried. Opposed: Mayor Pro Tem Lovette  VII. Presentation: VIII. Agenda Item(s) 1. LCPC  None  Ms. Lori Parks  Ms. Parks presented a Business License Request for All Monde Studio, the business owner is Ms. Alissa White and the business will be located at 4981 West Oglethorpe Highway, Suite 4. The business will be a full-service salon that offers hair color services, natural hair care, and hair extensions. The business operating hours will be Tuesday-Saturday from 8:00 AM-6:00 PM. The motion to approve was made by Councilwoman Kelly and the second was added by Mayor Pro Tem Lovette.  Vote: 5-0: Motion Carried Unanimously.  2.LCPC  Ms. Lori Parks  Public Hearing: The motion to enter the Public Hearing at 6:04 PM was made by Councilwoman Kelly  and the second was added by Mayor Pro Tem Lovette.  Vote: 5-0: Motion Carried.  1    Ms. Parks presented a Zoning Permit for 125 Smith Road for a new double wide manufactured home from Hinesville! Home Center. The owner ofthe property is. James E. Hendry and the applicant is] James The motion to approve the Water Rate Increase effective immediately for the June 2024 bill was made  by Councilman Boston and the second was added by Councilman Dodd. Members voting favorably were: Councilmen Boston, Underwood and Dodd. Members opposing: Mayor Pro Tem Luciria L. Lovette and Councilwoman Bridgette Kelly.  Vote: 3-2: Motion Carried  3. Water Rate Increase  Mayor and Council  A Water Rate Study was conducted (free of charge) by Georgia Rural Water Association Based upon their findings they recommended an increase to the city's Water Rates. Water Rates in the city have not increased since 2012. On February 26, 2024, Mr; Bill Powell with Geogia Rural Water made his initial presentation to the Mayor and Council. Mayor Pro Tem Lovette stated she cannot support an increase because an audit has not taken place on the city's finances. Mayor Hayes stated the council voted to reappropriate the funds that had been set aside for the audit and no one is forfeiting the audit. Councilman Boston stated he wanted to remind everyone that an audit has to be done and the CPA has not submitted the 2021, 2022, and the 2023 (which will be due on June 30). He added these audits have tol be done, he is not concerned about a Forensic Audit, but a yearly audit is required. Councilwoman Kelly inquired about the City CPAa and Mayor Hayes started, "we are looking ata a CPA andIwilll have more information that will be forthcoming. She furtherinformed the Council that CPA, Mr. Matthew Caines resigned effectively immediately. Mr. Caines presented the Mayor with an Engagement of Services letter in January, and the city would not execute the letter. Mr. Caines stated without a signed engagement letter he would not perform any work for the city because it would be operating out oft the GAAP Guidelines and the city owed him money for his services. The motion to approve the Water Rate Increase as proposed by Georgia Rural Water and effective immediately for the June 2024 bill was made by Councilman Boston and the second was added by  Councilman Dodd.  Vote: 3-2: Motion Carried.  Members voting favorably were Councilmen Boston, Underwood and Dodd. Members opposing were Mayor Pro Tem Lovette and Councilwoman Kelly. Proposed Rate increased that will be effective in June 2024 are listed in red:  WATER. AND: SEWER RATE COMPARISON FOR THE CITY OF WALTHOURVILLE  CURRENT RATES INSIDE Water $ $ $ $ $ $ $  PROPOSED NEW RATES INSIDE  Sewer 18.00 $ 23.35 $ 22.50 $ 26.10 $ 27.00 $ 28.85 $ 31.75 $ 31.60 $ 36.50 $ 34.35 $ 41.25 $ 37.10 $ 46.25 $ 39.85 $  Total 41.35 48.60 55.85 63.35 70.85 78.35 86.10  Water $ $ $ $ $ $ $  Sewer 23.00 $ 27.00 $ 31.00 $ 35.25 $ 39.50 $ 43.75 $ 48.25 $  Total 23.00 $ 46.01 29.50 $ 56. 36.00 $ 67. 42.50 $ 77. 49.00 $ 88. 55.50 $ 99. 62.00 $110 2  Gallons OGalleons OGallons OGallons OGallons 0 Gallons 1OGallons    IOGallons 10Gallons 10Gallons 100 Gallons  $ $ 1$ I$  51.251$  43.35 $  94.60  $ $ $ $  52.75 $ 57.25 $ 61.75 $ 66.25 $  68.50 $121 75.00 $132 81.50 $143 88.00 $154  56.25 $ 46.85 $ 103.10 61.25 $ 50.35 $ 111.60 66.25 $ 53.85 $ 120.10  IX. Department Comments 1. Water Department  City of Wathourville Mr. Patrick Golphin  Reported that meters were read on May 4th and bills were generated and sent to Spartanburg, SC. Councilman Dodd asked about the billing and the entire process was explained. Meters are read on the Sthofevery month, if the fifth falls on a holiday or Sunday it is read the day prior. After the electronic meter reads the information is downloaded and reviewed and compiled by City Hall under the direction and supervision ofMr. Golphin. City Clerk, Shana T. Moss stated the bills are sent out within 3-4 days oft the meters being read. After they are electronically read, they are generated as quickly as possible to get to the company to ensure the citizens obtain them before the due date on the 20th of the month. Late fee's are accessed on the 25th ofe each month will disconnects occurring the previous month. Bills are1 monitored weekly in City Hall and the citizens that are. nearing disconnect are given a courtesy call. Reported 59 calls were answered from the last two weeks. A tree fell on Busbee Road that the Fire Department assisted with traffic control. He stated the department took 2nd place int the 200 Club( (Fallen Hero's) Tournament that was held on May 11, 2024 in Hinesville. They had teams from Savannah, Liberty, Hinesville and Long County participating. Mayor Pro Tem Lovette asked about a citizen that is AKA "Mr. Tank," donated vehicles for the department to use in their training efforts. ChiefMaxwell, replied that, "yes he did, and it was greatly appreciated." She also stated she has not received but two emails about the Park Rentals for the year. City Clerk, Shana' T. Moss stated she sends the email every time the Park is rented and that sometimes the Mayor Pro Tem will respond by typing, "Received." Ms. Moss gave the dates for 2024 of the, emails that she sent about Park Rentals. The dates were: February 27, March 8, March 23, March 31,A April 3, April 12, April 19, and May 10.  2. Fire Department  ChiefNicolas Maxwell  3.1 Police Department  Chief Christopher Reed  Reported that Officer Carter was recuperating from surgery and beginning therapy and rehab. He stated that Officer Carter is optimistic and is looking forward to rejoining the department. He stated his department is monitoring traffic paying close attention to Shaw, Talmadge, Highway 84 and Dunlevie Roads. Mayor Pro Tem Lovette gave accolades to the department on behalf ofthe Lovette, Baker and Martin Family for the aid the department rendered during the death of the late Mrs. Clara Roberts. ChiefReed stated that is the service they provide for any family, and they take pride in helping people  in their darkest hour. XI. Elected Officials.  Post 1-Councilman Mitchell Boston  Councilman Mitchell Boston, stated he still wanted to go on record as saying" the CityofWalthourville need to be out of the Sanitation Business." The city still owes $140,000 on the Garbage Truck. We are falling further and further behind in debt and there are no other cities around us that are responsible for their sanitation, they privatize it. Mayor Pro Tem, stated she thinks we should look into mulching the dry trash and allowing the citizens to use the mulch for their gardens. She stated that would help with the tonnage. Councilman Boston countered saying, Eliminating dry trash is not going to fix it."  3    Mayor Pro Tem Lovette asked, "have you supplied the data to support the tonnage and can I get the data to support?" Councilman Boston said he ask about the bills monthly and the bills remain the same. Mulching will not cut the bill in half, nor will it cut iti in halfby 75% it might reduce it by10%. Councilman Boston wrote and read a detailed letter stating his stance on the city's Sanitation Department. His major concern is the city cannot afford to continue operating in the trash business. Councilman Boston requested his becomes a part of the City's Official Minutes. Please see the letter "lam writing to present a crucial proposal for the privatization of our city's sanitation department, a move that will alleviate our financial burden and potentially: enhance the quality of service for our residents. Currently, our sanitation department is facing significant financial challenges, which threaten the fiscal stability of our city. The annual cost of$130,000 to the landfill, coupled with the escalating expenses of vehicle maintenance, insurance, fuel, and other liabilities, has resulted in  in its entirety.  our department operating ata a substantial loss.  **Financial Burden:**  Our latest payment to the solid waste service was $21,551.70, and our outstanding balance is currentlys $54,138.44. With payments being made an average ofevery 90 days, our debt is projected to reach approximately $85,000 by the next billing cycle. Additionally, we are burdened with a $40,000 truck note, and our reserves have been nearly depleted. This financial strain will soon necessitate an increase in taxes, specifically through a higher millage rate, impacting all our  constituents. **Benefits of Privatization:* 1. **Cost Savings:**  **Elimination of Operational Costs:** Privatizing our sanitation services will eliminate the costs associated with vehicle maintenance, insurance, fuel, and liabilities. This will signficantyreduce. **Landfill Fees:** We will no longer be responsible for the $130,000 annual fee to the landfill, substantial saving that can be redirected towards other essential services and infrastructure  our financial obligations and help: stabilize our budget.  improvements. 2. "Revenue Generation:**  **Franchise Fees:** By selecting a private sanitation company, we can negotiate a franchise fee thatwillg generate. additionalrevenue forourd city. This newincome stream will furthers strengthenour  financial position.  3. "Employment Security and Enhancement." theirworking conditions and compensation.   Our current CDL drivers will be offered employment with the chosen private company, often with better, pay and benefits. This ensures job security for our employees while potentially improving  "Addressing Concerns:  1. **City of Allenhurst*. We currently provide trash services to Allenhurst without a formal agreement. They have the option to contract with the same private company we. select or choose another provider, allowing them the flexibilityt to decide what best suits theirneeds.  4    2. **Constituent Costs:** ensuring fairness  Concerns about increased garbage bills can be mitigated by highlighting that most households currently use multiple trash cans while onlypaying for one. Privatization would: standardize billing,  3. **Debt and Tax Implications:**  Continuing with the current system will only deepen our debt, leading to inevitable tax hikes. Privatizing sanitation services will prevent this scenario, avoiding increased taxes and allowing us  ton manage our finances more effectively.  "Conclusion,**  Privatizing ours sanitationservices offers a pragmatic solution to our current financial woes, ensuring cost savings, generating revenue, and providing job security for our employees. This move will not only stabilize our budget but also enhance the quality of life for our residents by avoiding higher lurge you to consider this proposal seriously and support the transition to privatized sanitation services. Let us take a decisive step towards securing the financial health of Walthourville and  taxes and ensuring efficient waste management. providing better: services for our community. Thank you for) your time and consideration.  Mitchell Boston  Walthourville City Council Post1" was added by Councilwoman Kelly.  Councilman Boston said he would like to make a motion to advertise for bids for Sanitation. The second Members Voting Favorably: Councilman Boston, Councilman Dodd and Councilwoman Kelly.  Vote: 3-2: Motion Carried.  Members Opposed: Mayor Pro Tem Lovette and Councilman Underwood.  Post 2-Councilman Patrick Underwood  Councilman Underwood said he has received a call concerning the Meat Market and the boxes. The owner was asked to place a fence around the area. He stated during his conversation with the owner the owner said some oft the employees were leaving the garbage can open, they have been instructed to close the lid. Councilwoman Kelly asked about why he can't be mandated and given at time to have the fence erected. Mayor Hayes stated the City Attorney will give him al letter. Councilwoman Kelly said, "it seems we are preaching to the choir and the choir is not singing back when it comes to this fence." She stated he has money to put up a fence and Mayor Hayes said she can't count anyone's pockets. Councilwoman Kelly said, "she can'teither, but she can count the cars that be in the parking lot.  Post 3-Councilwoman Bridgette Kelly Councilwoman Kelly said she had no report. Post 4-Mayor Pro Tem Luciria L. Lovette  Mayor Pro Tem Lovette stated she has been working with a lady on fence pricing for. Johnnie Frasier. The cost of replacing the fence for the perimeter of the park will be $30,000 and it will be  solid Black Aluminum.  5    Post 5-Councilman Robert Dodd  Councilman Dodd stated Hurricane Season begins on. June 1sland it is] predicted to be an active season. He will be conducting a brief presentation at a future council meeting. Liberty County had the kickoff Hurricane Awareness meeting on May 8, 2024. Mayor Sarah B. Hayes, ChiefNicolas Maxell and City Clerk, Shana T. Moss was in attendance. The presentation was conducted by Liberty County EMA, Director, Mr./Councilman Robert Dodd and Deputy Director, Mr. Thomas (Tripp). )Dukes.  XI. Citizens Comments (3 Minutes)  Walthourville Citizens  Ms. Sylvia Boyd. Ms. Boyd stated her concern was the Meat Market again. She has been to the Mayor and Council previously. The buzzards fly around, and they are huge. She stated she researched buzzards, and they carry germs and diseases. The meat market does not close the lid and they need a tarp tol keep the buzzards out. She cannot. freely walk in her yard nor down the street for the buzzards. She asked how long it takes for the city to force the Meat Market toj put upaf fence. Mayor Hayes stated shel has spoken with the owner, and hei is ini the process oft trying toi install a fence. The person who will install the fence works inside the market daily andi int the evenings, he will work on the fence. Ms. Boyd stated this was unacceptable, and Mayor Hayes stated she feels they need some more time, and that they will make good on their promise of erecting a fence. Ms. Boyd stated, "you didn'ttell me to wait when you were running for office and came to my house, asking fori my vote." And she said, the Mayor takes up her three minutes talking. Mayor Hayes stated she was the Mayor. The Mayor said she has talked to the city's Municipal Court Judge and the city is in the process oftrying to obtain a Code Enforcement Officer and anyone in Walthourville who violates this policy, will have to attend court in  Walthourville and she has already been in communications with the. Judge.  XII. Executive Session  None  XIII. Adjournment: At 7:11 PM a motion to adjourn was made by Mayor Pro Tem Lovette and the second  was provided by Councilman Dodd.  Vote: 5-0: Motion Carried Unanimously  6    Liberty Consolidated Planning Commission - Report Governing Authority: The City of Walthourville  COmoi * LCPC * E4.2005 gComy  Mayor & Council Date: May 28, 2024  Business License: Business Owner:  For Tee-It-Up Lawncare Chad Knudson  Address: Property Owner: Zoned:  1163 Talmadge Road, Allenhurst  Donna Adams  AR-1 (Agricultural Residential District)  Comments:  Using a room in the home for an office to run the  lawn care business only.  Recommendation:  APPROVAL  LCPCStaff:  KoiPak Lori Parks  5-22-24  Date  Zoning Administrator    WALTHOU  City of Walthourville Business License Division Mailing Address: P.OBoxK K Office Location 222 Busbee Road Web: site address- ewdrolathonilecon Application For corporation or limited Liability Company LLC  Walthourville, GA: 31333 Walthourville, GA: 31333 Phone:(912): 368-7501 Occupation' Tax Certificate  *The application must be filled out completely to obtain a City of Walthourville Occupation' Tax Certificate. Payment must be filed with the application to obtain a City of Walthourville Occupation1 tax Certificate. This application will not be processed ifi iti is not accompanied byt the appropriate taxi fee. You will not be billed. Please print with ink or type. In orderi for the appropriate tax or fee to be determined the application accompanied by: all appropriate documents must be submitted in person. Pursuant to The Georgia Immigration Reform Act that was passed byt the State Legislature and signed by the Governor all persons applying for renewing a City of Walthourville Tax Certificate must provide a secure and verifiable document as required by O.C.G.A5 50-36-1(e) (1) ands signa and notarize thea affidavit required by O.C.G.A 50-36-1 (e) (2) and the affidavit required by O.C.G.A: 36-60-6 (d).  This Business is:  (New Application  )Ownership Change /Date ownership changed & Certificate #_ )lamf filling a name/or address change for Certificate#  Name business as_ TeeTLUp Luwheenes Phonelg12 980-3650 Business Address_ 13 TPmadgcpg Alenhwst 6A31301 Mailing Address 11103 Tmadel Rd Allepbuist GA3130 Email Address_ FeCTE uplQwn Zaycgmare com Business MolOile lawn Cuure business Date Business began in City ofWalthourville. 6-15-24  Name of Corporation/LLC".  Full Detailed Descriptiono of  #ofemployees in City of Walthourville, State Sales Tax ID# Owner Name_ Chad KnueIson Home Address_ -  E-verify# (Requiredi if11 or more employees_  Federal ID # SS# _Apt# Cityi  DOB_ 4-9-860 State_ Zip  : Alle electrical, mechanical, plumbing, weriling contractors, mobile home dealers, mobile home Installers,and any DurcI - tort thatls required tol have: as State of Georgial License willl ber required toa attacha copy of theli licenset tot this application! beforei insurance. **Allo commercially used buildingn mayb bes subject to ani inspection forf firez ands safetyo code compliance prior toa anyo certificate of occupancyor  business license beingi issued.    Are you, the applicant the corporation, LLC or anys shareholder currently delinquent in payment ofa any taxes ort fees to any state or local government?. NOify yes, please indicatei thet type oft tax ort fee, and  the amount due with the reason thet taxi is delinquent.  Ifthis property isz zoned residential, no clients  Iswear or affirm that have obtained or will obtain  Employees, sales, deliveries, storage ofi inventory, within thirty days oft the date of this applicationa Ore equipment are allowed on the premises. Only City of Walthourville Certificate of Occupancyas One commercial vehicle not to exceed 12,5001 Ibs required byt the city ordinances.  Gross weight used ast transportation by the occupant May be parked at the residence. Iwill comply with the Restrictions stated above:  Signature:  M (initals)  X  Chab Knudsan that thet facts stated by me are true, lunderstand: any misrepresentation or fraudulent statement is grounds for automatic dismissal ofi this application and/revocation ofthe license. lunderstand that alls signs displayed on my premise must be permitted by the City of Walthourville, Ifurther understand that my business must operated in compliances witha all applicable state, federal & local laws, ordinances & regulations, &1 that the granting of this occupation tax certificate or payment of this occupation tax does not waive-the right of anyf federal, state or local entity tor regulate & enforce laws, ordinances & regulations. Janderstand that all decisions of Business License  Division may be appealed to the Cipyof Walthourille. This_ dayof MhaA 7224  Knudson  Signature ofa  Cnad  applicant.  legibly print name_  This application must be approved by the Liberty County Planning Commission  Tax! Mapi & Parcel# Approved by:  0510090 fai fabo  Zoning Classification_ AR-I  Date Approved: 5-28-a4  Date the request willl be presented to Mayor and Council:  ***APPLICANT MUST COMPLETE THE AFFIDAVITS AND PROVIDE AS SECURE AND VERIFIABLE DOCUMENT**    0.C.G.A-55036.100) AFFIDAVIT  By executing this affidavit under oath, as an applicant for a loan, grant, tax credit and/or other public benefit, as referenced in O.C.G.A. S 50-36-1, administered by the Georgia Department of Community Affairs, the undersigned applicant verifies one ofthe following with respect to my application for a) public  benefit: 1) 2)_ 3)_  Iama a United States Citizen.  Iama al legal permanent. resident oft the United States.  Iam: a qualified alien or non-immigrant under the Federal Immigration and Nationality. Act with an alien number issued by the Department of Homeland Security or other federal My alien number issued by the Department of Homeland Security or other federal  immigration agency. immigration agency is:  The undersigned applicant also hercby verifies that he or she is 18 years ofa age or older and has provided at least one secure and verifiable document, as required by O.C.G. A. $ 50-36-1(e)(1), with this affidavit. The secure and verifiable document provided with this affidavit can best be classified as:  Inr making the above representation under oath, Iunderstand that any person who knowingly and willfully makes a false fictitious, or fraudulent statement or representation in an affidavit shall be guilty ofa a violation ofO.C.G.A.: 16-10-20, and face criminal penalties as allowed by, such criminal statute. Executed this tiell day of Mana anf4a Mpfidn  CA *Signature pfApplicaht Printed Name ofA Applicant  MAK Kkan  SUBSCRIBED ANDSWORN BEFORE ME ONTHISTHE 17-DAYOF May winehut NOTARYI PUBLIC My Commission Expires: 3-1337  2024  6 m. 59 110  *This Affidavit must be signed by the same person who executes the Application Certification Form Leller    Secure and Verifiable Documents Under 0.C.G.A.S50-36-2 Issued August 1, 2011 by the Office of the Attorney General, Georgia  The Illegal Immigration Reform and Enforcement Act of 2011 ("IREA)provides that "[njot later than August 1,2011, the. Attorney General shall provide and make public on the Department ofLaw's website al list of acceptable secure and verifiable documents. The list shall be reviewed and updated annually by the Attorney General." O.C.G.A. S 50-36-2(f). The Attorney General may modify this list on a1 more frequent basis, if necessary. The following list of secure and verifiable documents, published under the authority of O.C.G.A. $50-36-2, contains documents that are verifiable for identification purposes, and documents on this list may not necessarily be indicative of residency or immigration status.  AUnited! States passport or passport card [O.C.G.A. $ 50-36-2(b)(3); 8CFR $274a.2] AT United States military identification card [O.C.G.A. $50-36-2(b)(3); 8 CFR $ 274a.2] Ad driver's license issued by one of the United States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, the Commonwealth of the Northern Marianas Islands, the United States Virgin Island, American Samoa, or the Swain Islands, provided that it contains a photograph of thel bearer or lists sufficient identifying information regarding the bearer, such as name, date ofbirth, gender, height, eye color, and address to enable thei identification of the bearer [O.C.G.A. $50-36-2(b)(3); 8 CFR 8 274a.2] An identification card issued by one of the United States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, the Commonwealth of the Northern Marianas Islands, the United States Virgin Island, American Samoa, or the Swain Islands, provided that it contains aj photograph of the bearer or lists sufficient identifying information regarding the bearer, such as name, date ofbirth, gender, height, eye color, and address to enable the identification oft the bearer [O.C.G.A. $ 50-36-2(b)(3); 80 CFR $ 274a.2] A tribal identification card of a federally recognized! Native. American tribe, provided that ito contains aj photograph of the bearer or lists sufficient identifying information regarding the bearer, such as name, date oft birth, gender, height, eye color, and address to enable the identification of the bearer. Al listing of federally recognized Native. American tribes htp/vw.biaoy/whowMNAAtBINOITINESGovmmsesenissnicsrbaDirstorv/ind AUnited States Permanent Resident Card or Alien Registration Receipt Card [O.C.G.A. Anl Employment Authorization Document that contains aj photograph of the bearer Ap passport issued by a foreign government [O.C.G.A. $50-36-2(b)(3); 8CFRS $274a.2]  may be found at:  ex.htm [O.C.G.A. $50-36-2(b)(3); 8 CFR $274a.2]  $50-36-2(b)(3); 8 CFR S 274a.2]  [O.C.G.A. 8 50-36-2(b)(3); 8 CFR $ 274a.2]    AM Merchant: Mariner Document or Merchant Mariner Credential issued by the United AF Free and Secure Trade (FAST) card [O.C.G.A. 1503628X9:201417  States Coast Guard [O.C.G.A. $ 50-36-2(b)(3); 8 CFR $2 274a.2]  ANEXUS card [O.C.G.A. $ 50-36-2(b)(3); 22 CFR $41.2]  A Secure Electronic Network for Travelers Rapid Inspéction (SENTRI) card [O.C.G.A. A driver's license issued by a Canadian government authority [O.C.G.A. $ 50-36-2(b)(3); ACertificate of Citizenship issued by the United States Department of Citizenship and Immigration Services (USCIS) (Form N-560 or Form N-561) [O.C.G.A. $50-36-2()(3); AC Certificate of Naturalization issued by the United States Department of Citizenship and Immigration Services (USCIS) (Form N-550 or Form N-570) [O.C.G.A. $50-36-2()(3); Inadditiont to the documents listed herein, if, in administering aj public benefit or program, an agency is required by federal Iaw to accept a document or other form of identification forj proof of or documentation ofi identity, that document or other form of identification willl be deemed a secure and verifiable document solely for that] particular program or administration of that particular public benefit. [O.C.G.A. $5 50-36-2(c)]  $50-36-2(b)(3); 22 CFR $41.2] 8CFR 8 274a.2]  6CFR$37.11)  6CFRS $ 37.11)    Private Employer. Affidavit Pursuant' To 0.C.G.A.$36-60-64)  By executing this affidavit under oath, the undersigned private employer verifies one oft the following with respect to its application fora a business license, occupational tax certificate, or other document required to operate al business as referenced in O.C.G.A. $36-60-6(d):  Section 1. (A).  Please check only one:  On January 1" oft the below-signed year, the individual, firm, or corporation employed more than ten (10) employees'.  *** If you select Section 1(A), please fill out Section 2 and then execute below.  (B).  On. January 1" oft the below-signed year, thei individual, firm, or corporation employed ten (10) or fewer employees.  *** Ify you select Section 1(B), please skip Section 2 and execute below. The employer has registered with and utilizes the federal work authorization program in accordance with the applicable provisions and deadlines established in O.C.G.A. $36-60-6. The undersigned private employer also attests thati its federal work authorization useri identification  Section 2.  number and date of authorization are as follows:  Name of Private Employer  Federal Work. Authorization User Identification Number  Date of Authorization  Ihereby declare underpenalty of perjury that thet foregoing is true and correct. Executed on. Mg2ogn. Hondsob!  (state).  CID Signature of Anthorized Officer or Agent Chkke  DALE 074  Printed Name: and' Title of Authorized Officer or Agent  SUBSCRIBED. AND SWORNI BEFOREI ME ONTHIS THE. VMalcwil NOTARYI PUBLIC My Commission: Expires: 3-12-37  DAYOF Mat - 2024  'To determine the number ofe employees for purposes of this affidavit, a business must counti its total number of employees company-wide, regardless of the city, state, or country in which they arel based, working: at least 35 hours  a week.    BRaGo  DynastyLn 051C083  051C098 uIETS & 05  051C083  DERD  051C086  0510087  OSICO9G  05IC080  051G095  HI  0510093  05IC089  0SIC093  (52A027  Aon  051C1S  tae