I hereby certify that I am a resident of the City of Neenah or the City of Menasha, Winnebago County, Wisconsin, age 60 or over, and that all of the above information is true and correct. In the event that I move or change my telephone number, I will notify the City of Neenah by calling the Community Development Department at 920-886-6125. In the event that I take up residency outside of Neenah or Menasha city limits, I shall be responsible for relinquishing my ID card.