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. , ., , svrue�rr <; . � <br /> lU11LIC'D1CCt+OStlRls"dtQtltE9�,�'IYI�MtA'N'r0,� <br /> lie�r.N11y�d7�K1� !IM w�we Me. <br /> r <br /> $.IS per pagc Jor cosr.r n(cnpring (/FNe 42 R.C.W'.) <br /> / <br /> Requestor's Requestor's <br /> Printed Namc: (�1{/ZIS ���LL Signaturc: _ __ <br /> Address: � � ��/ fT�. C Phonc No.��_�!9��8 <br /> .L�//h�'Wc���11! 9f�C,�(o_ Business IVame:_ _ _ II <br /> Allow me to: _ inspect ✓ request a copy of the following records: j <br /> ' ;yl uN . ✓. i��_ <br /> �� — � 1 cs r�rtoti. !� <br /> �,((so 3).E t£ G� vl��--� cc.D/ti'�q � A pQro�cL.Q . '� <br /> If record(s) concern individual(s) other than rc estor. Please state. <br /> Is/are the requcsted record(s) ro be used for a commercial purpose? Yes � No <br /> — -- I <br /> Request was made: In person _ Hy phone __ Fax _ Mail <br /> Date request received: -'�� By (Dept.): _ Response Due date: <br /> _ Allow access. The applicable department has been notified, and I <br /> you may accessthe requested records. <br /> Deny access. The City has determined that the records you have <br /> requested are exempt under the law for the <br /> following reasons: <br /> We do not have the record(s). Explanation: <br /> Coa���e� <br /> Date Requestor notified: 3_}�-�9 By Mail By Phone In person � <br /> I ccr[ify that notification of fina iry response was cattied out by me as stated above. <br /> Signature of Notifying F.mployee: <br /> No. of copies �Certified _ Treas. Reccipt N � GL-002 341 61 00000 <br /> Copy l - Clerk's OJfice Capy 2 -Appropnnte Dep�. Copy 3 -Requestor II <br /> � <br />