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$. I S per pngc jor costs u( rupi•ing (7'ide a? R. C. R'.1 <br />Requestor's Reyuestor'�� <br />Printed Name�n,�sA� �A�Y✓�x�"�-'tiX _ S�Sna�ure: <br />Phrnic No.:��-�_'��Ca % <br />Address: �O (S �� ✓-�r`" �-- � 3�.,�5`� <br />� n �_ 1 �_ �uvnctiti Name'. ' _— — ---- <br />me to: _ inspcet � requena cup�• of the <br />If rccord(s) concern indi��idual(sl othcr than rcyucsun. I��c stat��. ��f�'� �--- <br />'p71-o., <br />Y�s ��Cii <br />Is/are the requested record(sl to he used tiir a commereial rurp��se? _ — <br />�/ In erson F3y phonc Fax _ Mail <br />Requat was made: _ P — — <br />I3y (De t) Response D�e da[c: <br />Date request received: � • � <br />� Allo��� access. The applicahlc deparunent has hcen notified, and <br />— vou m.iy acccss thc reyuestcd records. <br />Deny acces�. The City has determined that the records you havc <br />reyucsted are exempt under the la��• far ihe <br />followine rcasons: <br />We do not have the record(s). Explanation: <br />1� <br />Date Requestor notified: By Mail _ By P ione ✓ In person _ <br />1 certify that notification of final Ciry response �vas carried out by me as stated abovc. <br />Signawrc of Notifyine Empleycc: <br />No. of copii•s _ Certified _ Treas. Receipt N <br />Cop� !- Clerk's OJfice Cop� Z- �1 pproprin�e Dept. <br />GL-002 341 61 00000 <br />Con�' 3 - ` �esmr <br />