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M.I rh>cD y eHm td. ySR rR w> zd ySJR*R t M.AiIAw vDR wH> t cJ tHR rh> e rR w> vX cD y eHm t*D> {gI AAArh> vJ w> rR t rk> eHR=AAAAA§AAAA§AAAAAAe w> rR vD> vR rh> r EkR vJ.IAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAwrh> rRw> tuwX>rk>eHR= AAAAA§AAAA§AAAAAAe w> rR vD> vR rh> r EkR vJ.IAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAA, w b. w> vJ ,R vX cD y eHm b. vHm y wH xD. t rk> eHR=A AAAAA§AAAA§AAAAA AA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAubsH;yRA1AvXA5 ---PAGE BREAK--- Employment & Public Accommodations Complaint Form-Karen w> zH;w > rR ur sX> w> td. w> qd; vD> usJ w z. w> yJm z; eDR z;xD 'g w> ym ym u r. eD. eD. vHm uGD.'d 0h> tJ(v) b eH. ySR cd. zd cGJ; ,m cD. rH; %SX.A (City of Albany Commission on Human Rights) AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAubsH;yRA2AvXA5 ---PAGE BREAK--- Employment & Public Accommodations Complaint Form-Karen w> zH;w > rR ur sX> w> td. w> qd; vD> usJ w z. w> yJm z; eDR z;xD 'g w> ym ym u r. eD. eD. vHm uGD.'d 0h> tJ(v) b eH. ySR cd. zd cGJ; ,m cD. rH; %SX.A (City of Albany Commission on Human Rights) , b. Aw>ywkm vX w> rRAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAw>w'd;vJ,R Aw> xk; xD. w> ym vR Aw>[h. u. xD 'g Aw>w'd;vJw>rRrh>vXABFOQ*AAw> w vJ rh> vX uh> *DR w vX w A[h. w> o rH xH vX A*h> vdm w> xD. AAA Aw>[h.yvD>,R Aw>w'd;vJ,Rrh>vX,td.'D;w>rRur.oJp; A*h>vdm0JR'X;w>rReD.rRCg Ab.C;'D;w> xD 'g vdm o; AAAAAAAAAAAAAAAAAAAAAAAAAAw>[h.vDRw>zH;w>rRw>od.w>oD§w>bsX AAw>zH;w>rRcd.CXR At*RAAAAAAAAAAAAAAAAAAAAAAAAAAAA * Bona , em w> &h AxHzduD>zdeD>eD>AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA(xJ'.vXw>zH;w>rRt*D>) Aw>od.w>oDrd>yS>AAok; twDR y wD> AAAAAAAAAAAAw>uJrk.§cGg AAAtywD>AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA Ark. cGgoGH.xH;w>CkxX§w>b.o; Ao;eH.A(td.zsJ.rk>eHR)AAAAAAAAAAAAAAAAAAAAAAAA{dR) Aw>bl.w>bgAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAw> [J vDR pXR vDR vXw>zH;w>rRt*D>{dR) AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAubsH;yRA3AvXA5 ---PAGE BREAK--- Employment & Public Accommodations Complaint Form-Karen w> zH;w > rR ur sX> w> td. w> qd; vD> usJ w z. w> yJm z; eDR z;xD 'g w> ym ym u r. eD. eD. vHm uGD.'d 0h> tJ(v) b eH. ySR cd. zd cGJ; ,m cD. rH; %SX.A (City of Albany Commission on Human Rights) AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAubsH;yRA4AvXA5 ---PAGE BREAK--- Employment & Public Accommodations Complaint Form-Karen w> zH;w > rR ur sX> w> td. w> qd; vD> usJ w z. w> yJm z; eDR z;xD 'g w> ym ym u r. eD. eD. vHm uGD.'d 0h> tJ(v) b eH. ySR cd. zd cGJ; ,m cD. rH; %SX.A (City of Albany Commission on Human Rights) AAAAAAAAAAAAAA w> [h.ul.[h.z; ,R zJ w> tusdRtusJvX,w>ChxD.M.b.oh.oh.w>u York State Division of AAAAAAAAAAAAAAAAAAAAHuman Rights)Attd.M.vDRI AAAAAAAAAAAAAA , M> w> ym ym u r. usX> wH> uGJ; 'd tk. uDR rRw> b.C; w>zH;w>rRw>cGJ;*hR ,mb.xJod;wkRod;A(Equal Employment Opportunity cg t*D>M.vDRI AAAAAAAAAAAAAA b. oh. oh. w> u Ch xD. ,R vX,utk.o;§qd.vDRo;vXtb.xGJ'D;w>*h>w>yD>vX, wD. w z. t M.v DRI ,tk. , o; vX w> *h>vX , vX w> ym ym u r. tHR t ylR M. rh> w> rh> w> wD vDR wH> vDR qJ;0J , b. w> ul. z; w> y wH ouGHm u n; xD.§w> rR vdR rR b. tusJ t*R tu vkm u vkm vHM.vDR= AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA t*D> {dR= of New York Division of Human AAAAAAAAAAAAAAAAAARights)Attd.M.vDRI of New York Division of Human AAAAAAAAAAAAAAAAAARights)Attd.b.M.vDRI City of Albany Equal Employment Opportunity & Fair Housing Office City Hall Room 301 Albany, New York 12207 (518) 434-5296 AAAAAAAAAAAAAAAAAAAAAAAAAAAA ubsH;yRA5AvXA5 For Administrative Use Only: This complaint has been reviewed and will be forwarded to the appropriatecontact at the State of New York Division of Human Rights This complaint has been reviewed and will not be forwarded to the appropriatecontact at the State of New York Division of Human Rights Affirmative Action Officer /Print Name Date