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nD <br />REQUEST FOR RECORDS t� <br />CITY CLERK'S OFFICE <br />EVERETT, WASHINGTON <br />`'. '..� <br />17Y - <br />Plo;tca �:Pt, <br />Print /► j� <br />Name 1'Q V1 A • D ) 4 oe Signature <br />Address <br />Records <br />Request <br />Requesl <br />Recvd. <br />--------------------- <br />Request E/Ya(/b',6 Received <br />forwarded to By <br />Department /3-ve'rp <br />** Response Due Date <br />{ ** Department receiving the request should attach information requested <br />1� or a statement as to why the record is not being dispensed and <br />y return to the City Clerk for issuance to requestor. (Ord. 313-74) <br />j ACTION TAKEN ON RECORD <br />REQUEST` <br />Delivered Date /:1-l7-8'�No. Pages Certified ONO. <br />Exempt Time No. Copies / ..pc: <br />AttachmentsA— 9 767- IP <br />�Ll�/errt..LlCuc�k� Ennloyees sign. <br />SQ Aa., <br />f <br />