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Thank You For Your Service - Veterans Day '/�®���oF OI(4 y CITY OF OKEECHOBEE 0-4 55 SE THIRD AVENUE o OKEECHOBEE, FL 34974 - No ; Tele: 863-763-9821 Fax 863-763-1686 • e-mail: permitcityofokeechobee.com Park Use Permit Permit Number: 23-015 Date(s) of Event: November 11, 2023, 10am-12pm Permit Expiration: November 11, 2023, 11:59 P.M. Purpose of Request: Thank you for Service-Veterans Day Property Owner: City of Okeechobee Address: 55 SE 3rd Avenue City: Okeechobee State: Florida Zip Code: 34974 Applicant: Thank You For Your Service Applicant's Address: F'O Box 1856 Phone Number: 863-484-0170 Address of Project: Memorial Park Current Zoning: PUB FLU Designation: PF Subdivision: City of Okeechobee Restrictions/Remarks: • Contact the Okeechobee County Fire Department at 863-763-5544 to schedule a final field inspection before event. • All debris must be removed within 24 hours of expiration date. 7‘zeat 7ande October 24, 2023 General Services Administrative Secretary Date I 1p- ,) , 0a3 67_5. Page 1 of 3 Revised 3/5/19 CITY OF OKEECHOI3EE ,�``�OF OK Fcys 55 SE THIRD AVENUE •'� °�, OKEECHOBEE, FL 34974 .LL T: Tele: 863-763-9821 Fax: 863-763-1686 ••14 t PARK USE AND/OR TEMPORARY STREET/ SIDEWALK CLOSING PERMIT APPLICATION Date Received: 1p-a,-a3 Date Issued: Application No: A 3-Q J5 Date(s) & Times of Event: N p\1 1 t 12A2l 1 P awl 40 i 3. p' Information: Organization: 17- n \\ )`o, For yc, u r. S,, r ` * A r" V,_-k Mailing Address: pd b,,4, j 15.114 0 kice.c.kot...e e_ 3 v'-3 Contact Name: 6Tc35 y_r,,,tic-I E-Mail Address: i'h,..,,,I., f r..,(ur yo,,*S-ru:« 3 y r 3 Z (77 C4-').1 . (G,, Telephone: G y e Work: Home: Cell: ($c,i ) cy'r a(70 • Summary of activities: ( [ 1.,L4.r 1`4 n I t.i y ,ic ,.'1 C9"v a/_J T 1,PL_--I Lz,1`r <t,'1,-/ /-( . -,^„1 c50,tp_Zit .C,nl Proceeds usage: Please check requested Parks: Flagler Parks: ❑ City Hall Park o41 Memorial Park ❑ #2 ❑ #3 ❑ #4 ❑ #5 ❑ #6 [Park 3 is location of Gazebo. Park 4 is location of Bandstand] (If other private property used in conjunction with this Park Use Permit please provide the address and parcel number below along with notarized letter of authorization from property owner) Additional Addresses, if applicable Parcel ID: Page 2 of 3 Revised 3/5/19 TEMPORARY STREET AND SIDEWALK CLOSING INFORMATION (Street Closings require City Council approval. Meetings 1St& 3rd Tuesdays but subject to change) Address of Event: Street(s)to be closed: �` I Date(s) to be closed: v Time(s)to be closed: Purpose of Closing: Attachments Required for Use of Parks Attachments Required for Street/Sidewalk Closings r/ ► Site Plan ► Site Plan ► Copy of liability insurance in the amount of ► Copy of liability insurance in the amount of$1,000,000.00 V $1,000,000.00 with the City of Okeechobee as with the City of Okeechobee and R.E. Hamrick Testamentary additional insured. Trust as Additional Insured. r Proof of non-profit status ► Original signatures of all residents, property owners and business owners affected by the closing. ► State Food Service License if> 3 days. ► State Food Service License if>3 days. ► Notarized letter of authorization from ► State Alcoholic Beverage License, if applicable.** property owner, if applicable.* * Required if private property used in conjunction with a Park Use application. ** Alcoholic beverages can be served only on private property. Alcoholic beverages NOT ALLOWED in City Parks, City streets or City sidewalks. See additional note below. ❑ Please check if items will be sold on City streets/sidewalks. Each business will need to apply for a Temporary Use Permit 667 along with the Street Closing application. Note: ► Clean-up is required within 24 hours. ► No alcoholic beverages permitted on City property, streets or sidewalks. ► No donations can be requested if any type of alcoholic beverages are served on private property/business unless you possess a State Alcoholic Beverage License. Please note there are inside consumption and outside consumption licenses. You must have the appropriate license(s). ► The Department of Public Works will be responsible for delivering the appropriate barricades. ► Dumpsters and port-o-lets are required when closing a street for more than three (3) hours. Applicant must meet any insurance coverage and code compliance requirements of the City and other regulations of other governmental regulatory agencies. The applicant will be responsible for costs associated with the event, including damage of property. By receipt of this permit, the applicant agrees and shall hold the City harmless for any accident, injury, claim or demand whatever arises out of applicant's use of location for such event, and shall indemnify and defend the City for such incident, including attorney fees. The applicant shall be subject to demand for, and payment of, all of the actual costs incurred by the City pertaining to the event including, but not limited to, Police, Fire, Public Works or other departmental expenses. The City reserves the right to require from an applicant a cashier's check or advance deposit in the sum approximated by the City to be incurred in providing City services. Any such sum not incurred shall be refunded to the applicant of this Park Use/Street Closing Permit. Page 3 of 3 Revised 3/5/19 I hereby acknowledge that I have read and completed this application, the attached Resolutions No.(s) 03-8 and 04-03, concerning the use and the rules of using City property, that the information is correct, and that I am the duly authorized agent of the organization. I agree to conform with, abide by and obey all the rules and regulations, which may be lawfully prescribed by the City Council of the City of Okeechobee, or its officers, for the issuance Certificate of Insurance must name City of Okeechobee as Additional Insured as well as R.E. Hamrick Testamentary Trust if closing streets or sidewalks. L/1J a Applicant Signature Date ••••OFFICE USE ONLY"" Staff Review Fire Department: •t Date: O l s /2 Z Building Official: 4 • Date: w `tv- j Public Works: *16 ( Date: it, ff--247 Police De s artment: � Date: /9/4/3 BTR Department: i I� ,'. Date: ra/176-3 City Administrator: / 'r V Date: 1p /,701..3 City Clerk: ' I Si tuft)* uft Date: , f q0 3 NOTE: APPLICATION AND INSURANCE CERTIFICATE MUST BE COMPLETED AND RETURNED TO THE GENERAL SERVICES DEPARTMENT THIRTY (30) DAYS PRIOR TO EVENT FOR PERMITTING. / 1\1 Temporary Street and Sidewalk Closing submitted for review by City Council on 11 Date Temporary Street and Sidewalk Closing reviewed by City Council and approved /a Date APPLICATION FOR SPECIAL EVENT Application Number: as-615 Date Received: IO4,_23 NAME OF EVENT: V<,f`ce.r'i c,f Ors n, ` t;C PAr L ADDRESS OF EVENT: // _dein fv per K DESCRIPTION OF EVENT: Pk Ace- i.. ()a r f`S, NAME OF SPONSOR ORGANIZATION: -h,.;,,k `(c , y� _ J�, t,P- r Contact Number before and during event OF RESPONSIBLE PERSON: ('t>) '13 y-6 1 40 RESPONSIBLE PERSON'S NAME: DATE(S) AND TIME(S) OF EVENT: Date: lat, /V e1 C, 1/ Starting Time: /Ci ; 'J Closing Time: _ I ) Date: Starting Time: Closing Time: ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? 110 LOCATION Will Emergency Apparatus(Fire and Ambulance)have access to area? V'-1 IF NO,THEN(provide alternatives): WILL ELECTRICITY BE USED? YES 11 MO 0 (circle) Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED? (circle)YES CI [IN Olt Type of Heating Equipment Used: WILL A TENT BE ERECTED? (circle) YES' NO 0 �n 'x 1(� mud 146 me Tent Manufacturer: Size AO X.U fire rating posted: F-U„� Tent have sides and how many? 0 Opel/SAMS se T'_f.nJ4 _ • Are there Fire Extinguishers accessible and ready for use? (circl Yes No E �� curtiLi e'en+ Alfa- ""ATTACH SITE MAP OF EVENT LAYOUT" FIRE SERVICES SHALL COMPLETE ITEMS BELOW: FIRE DEPARTMENT LIFE SAFETY&FIRE SERVICES REQUIREMENTS: (See above) O Tents/canopy fire rating certificate required. U Tent Size require life safety inspection (900 square feet or less then no permit is required) O Floor plan / seating/ setup drawing required showing exits, etc. Li Emergency access must be maintained. (REFERS TO VEHICLES AND EQUIPMENT) Li Fire extinguishers must have current tag, and be operational and readily accessible. Li Cooking requires LPG outside of tent pointing away from exposures. Li Electrical wiring exterior rated,not overloaded. Li Fire Services inspection required. Li Fire watch or inspector(s) REQUIRED? FIRE WATCH Amount: Li Firefighter/Inspector Amount: Hi Other: Jrr r/� FIRE DEPARTMENT OFFIC L(PRINT): jeJ rS l iSZ �' J a SIGNATURE: Please call the FD at 863-467-1586 for any questions. Revised 11-6-19 A DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/04/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Next First Insurance Agency,Inc. PHONE (855)222-5919 FAX PO Box 60787 (A/C,No.Extl: (A/C,No): Palo Alto,CA 94306 A ADD DREDRE SS: support@ne>ctinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: State National Insurance Company,Inc. 12831 INSURED INSURER B: Thank You For your Service LLC 20155 NW 260th St INSURER C: Okeechobee,FL 34972 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:387653007 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $100,000.00 MED EXP(Any one person) $15,000.00 A X NXTQL4L4DX-00-GL 01/27/2023 01/27/2024 PERSONAL&ADV INJURY $1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000.00 PRO POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000.00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is City of Okeechobee/ R.E.Hamrick Testamentary Trust.This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement.All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION City of Okeechobee/ R.E.Hamrick Testamentary Trust LIVE CERTIFICATE SHOULD55 SE 3rd Ave THE Okeechobee,FL 34974 .ti,_.culf.;i THE EXPIRATION DATE ABOVEPOLICIES BE THEREOF, NOTICE WILL CANCELLEDBE BEFORE DELIVERED IN •''?f�:'�1 ACCORDANCE WITH THE POLICY PROVISIONS. } AUTHORIZED REPRESENTATIVE i Click or scan to view ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD , \ [ CI P \\. ,...__, r--- ( .-- { g r 7 , 1r NII J t ,. . B 1 L . t nkOe I ____ _ i--- -,/ _ .. , by the City, for traffic control, crowd control, fire safety, paramedic service, or general policing,which often requires adding personnel, and incurring overtime labor expense. For any such event, the City • may require the organization or permit holder to be responsible for these additional costs,including property or personal injury damages that may occur during the event.There will be a mandatory inspection meeting between the Public Works Director or their designee and a representative from the permit holder prior to and after each event. Any additional expenses as stated above, will be billed to the organization or permit holder,who shall pay such sum to the City. e. For activities in Flagler Park, the use of generators for power is encouraged, as electric outlets are limited and subject to the right of the City to deny their use. When generators or extension cords are used, the applicant shall cause a U.L. approved extension cord of proper gauge to be safely attached,and routed so as to not interfere with any pedestrian path,or in such area as may pose a risk of harm to the public or other participants. INTRODUCED AND ADOPTED this 16nd day of March, 2004. %' James. E. Kirk, Mayor • • %ATTEST:. La'e-Gamiote , City Clerk REVIEWED FOR LEGAL SUFFICIENCY: 5;4)-4?.._ 64-- John R. Cook,City Attorney Page 2 of 2 INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY P. O. BOX 2508 CINCINNATI, OH 45201 Employer Identification Number: Date: DEC 03 2019 84-3434602 DLN: 26053718001079 THANK YOU FOR YOUR SERVICE Contact Person: PO BOX 1856 CUSTOMER SERVICE ID# 31954 OKEECHOBEE, FL 34973-0000 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 509(a) (2) Form 990/990-EZ/990-N Required: Yes Effective Date of Exemption: January 1, 2018 Contribution Deductibility: Yes Addendum Applies: No Dear Applicant: We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c) (3) . Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records. Organizations exempt under IRC Section 501(c) (3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter. If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required to file an annual information return (Form 990 or Form 990-EZ) or electronic notice (Form 990-N, the e-Postcard) . If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked. If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter. For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter "4221-PC" in the search bar to view Publication 4221-PC, Compliance Guide for 501(c) (3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements. Letter 947 Patty Burnette From: Gregg Maynard <thankyouforyourservice34972@gmail.corn> Sent: Thursday, October 5, 2023 10:48 AM To: Patty Burnette Subject: [EXTERNAL]Re: [EXTERNAL]Re: Park Use Application for Veterans Day event Attachments: image001.png It is a 20x30 open siide tent. If cheif Wooten has any questions I'll be glad to answer them. I talked to Matt about the fire rating certificate and he said that they never get one when they have to replace tents. The Dept of Ag (non profit division) is backlogged on the certificates and getting them out. Unfortunately this whole event was dumped in my lap at the last minute. I'm just 1 person trying to juggle 50,000 other things with no help lol Gregg On Thu, Oct 5, 2023, 10:31 AM Patty Burnette<pburnette@cityofokeechobee.com>wrote: Greg I know that this information is usually required and the Fire Department may ask some questions. can submit as is and I will let you know. Would you know what the size of the tent is and will use be using sides or is it open? For the exemption I will use the IRS paper. Patty t. Burnette C3eneralServices Director City of Okeechobee 55 SE 34 Avenue Okeechobee, 'FL 34974 Phone: (863) 763-3372 ext. 9820 Direct: (863) 763-9820 Tax: (863) 763-1686 e-maid pburnettc @cit1j fokeechohee.com website: wtiwv.cltyL fokeechobee.com 1 Under Florida law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing, Florida Statute 668.6076. CITY OF OKEECHOBEE ELECTRONIC DEVICE DISCLAIMER: Florida has a very broad public records law. Most written communications to or from local officials regarding city business are public records available to the public and media upon request. Your correspondence via e-mail, text message, voice mail, etc., may therefore be subject to public disclosure. From: Gregg Maynard <thankyouforyourservice34972@gmail.com> Sent:Thursday, October 5, 2023 9:41 AM To: Patty Burnette<pburnette@cityofokeechobee.com> Subject: [EXTERNAL]Re: Park Use Application for Veterans Day event Matt doesn't have the fire rating on the tent that has been used for the past 10 years. On Thu, Oct 5, 2023, 9:37 AM Gregg Maynard <thankyouforyourservice34972@gmail.com>wrote: You should have a copy of non profit status from the irs included with the application On Thu, Oct 5, 2023, 9:23 AM Patty Burnette<pburnette@cityofokeechobee.com>wrote: Good Morning Greg. In reviewing your application for the event noted above a few additional items are needed before signatures of approval are requested: 2 • Copy of tent certificate (indicated on application that tent will be from Buxton's Funeral Home so they should have a copy of this information) • Copy of nonprofit status for Thank you for your Service. The copy submitted with the application has expired. Thank you Patty M Burnette Cj.eneralServices Director City of Okeechobee SS SE 3rd Avenue Okeechobee, 'FL 34974 Phone: (863) 763-3372 ext. 9820 Direct: (863) 763-9820 'Fax: (863) 763-1686 e-mai( pint rnetteecityo fokeecho6ee.com website: 'w vw.cityofokeechobce.coni Under Florida law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing, Florida Statute 668.6076. CITY OF OKEECHOBEE ELECTRONIC DEVICE DISCLAIMER: Florida has a very broad public records law. Most written communications to or from local officials regarding city business are public records available to the public and media upon request. Your correspondence via e-mail, text message, voice mail, etc., may therefore be subject to public disclosure. 3 Patty Burnette From: Gregg Maynard <thankyouforyourservice34972@gmail.com> Sent: Thursday, October 5, 2023 10:20 AM To: Patty Burnette Subject: [EXTERNAL]Re: Park Use Application for Veterans Day event: The copy that you are saying is expired is the solicitation of donations license from the FL Dept of Agricultural. No donations will be solicited at the event so it is not needed. On Thu, Oct 5, 2023, 9:41 AM Gregg Maynard <thankyouforyourservice34972@gmail.com>wrote: Matt doesn't have the fire rating on the tent that has been used for the past 10 years. On Thu, Oct 5, 2023, 9:37 AM Gregg Maynard <thankyouforyourservice34972@gmail.com>•wrote: You should have a copy of non profit status from the irs included with the application On Thu, Oct 5, 2023, 9:23 AM Patty Burnette<pburnette@cityofokeechobee.com>wrote: Good Morning Greg. In reviewing your application for the event noted above a few additional items are needed before signatures of approval are requested: • Copy of tent certificate (indicated on application that tent will be from Buxton's Funeral Home so they should have a copy of this information) • Copy of nonprofit status for Thank you for your Service. The copy submitted with the application has expired. Thank you Patty 'M,. Burnette General Services Director City of Okeechobee SS SE 34 Avenue Okeechobee, T. 34974 1 4 J amommolmillalmolimmb AMVETS POST 200 THANK YOU FOR YOUR SERVICE Presents A SALUTE TO OUR VETERANS 1 �l►� c t�tl +'t►'t;ait� I >.a\ ��1't►gI';tIta Ic► ►r !how i►I tlti \1 1141 lid\ 4' S+'t•\ ►'(I ala(I ►►ILt11LElE' IE) SE`t'\ !'. FEATURING SON'S OF THE AMERICAN REVOLU HON HONOR GUARD it lib a kevi itt address Kt Jt�rr Bn atst 1 .S. \I.0 VETERANS PARK 10:00AM FREE MEDIUM COFFEE FOR ALL VLI LRANS COURTESY OF BROWN COW SWEETERY L[11 kYASt.v.,!lkR4!14.�, Keli Trimnal From: Keli Trimnal Sent: Tuesday, October 24, 2023 3:29 PM To: thankyouforyourservice34972@gmail.com Cc: Keli Trimnal; Patty Burnette Subject: Park Use Application - Permit No. 23-015 Attachments: 23-015 Veterans Day.pdf Hi Greg, Please see attached Park Use Permit No. 23-015 for November 11, 2023, from 10am-12pm, location #1 Memorial Park. Keli Note: Please do not"reply all"to this email to avoid a potential Sunshine Law Violation. Regards, 7CeC T'rimna.C, City of Okeechobee General Services, Building& Zoning Administrative Secretary 55 SE 3rd Avenue Okeechobee, `FL 34974 Phone: (863)763-3372 ext.9824 Direct: (863) 763-9824 Fax:(863) 763-1686 e-mail ktrimnaI@cityofokeecho6ee.com we6site:www.cityofokeecho6ee.com zrf. •I]1 Under Florida law,email addresses are public records. If you do not want your email address released in response to a public records request,do not send electronic mail to this entity. Instead,contact this office by phone or in writing, Florida Statute 668.6076. CITY OF OKEECHOBEE ELECTRONIC DEVICE DISCLAIMER:Florida has a very broad public records law.Most written communications to or from local officials regarding city business are public records available to the public and media upon request.Your correspondence via e-mail,text message, voice mail,etc., may therefore be subject to public disclosure. 1