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� Ma� zr�� �/ <br /> CI7 Y OF f VERI;"I I' <br /> PUI3LIC llISCLOSURE RI?QUES7' �OR INFORNIATIOi�' <br /> I'honr. (4:5) 257-841U r•:��:�azs)257-874] 2930 \Vclma�e Avc.,Evcrcu, \1'A 98201 <br /> S.l�pz��pa,��e for cos(.r oi cop}�iie,G iTrt/�> a_' 2C'Jf'i <br /> Requcstoi's <br /> _ <br /> �a/e� -- �f�- - - ---- - - — <br /> — —1'rinted Namc - ---- - - _ and'�ir <br /> �usine�s V;�ntc' <br /> SiSnature: _��_�� G�------�--- <br /> \ddress: ��-CJ�U-Fs'��1•�-�-l1'Q . e-m:�il: �O.F�' Gf�^_ ti/" �'e/^ � ���7� <br /> �P�_}�.i��� 9�ao/ <br /> Phone ��o.:�.�j�_.�.SL.Q.���j No1c: ICpour phonc h�s a block on it �cc cannot cont;ict �ou. <br /> Nlease contact us afler fi��e busine;s da��s. <br /> Allo�v mc to: _ inspect ��quc.,t �� copy ofthc following rccords: Plcasc bc spccific. <br /> - .�� �����-�T�i a��Cfl'/G�/Cc �O`LS <br /> Dia - 2 <br /> If record(s) conccrn individual(s) othcr th;in requestor. I'Icase state. ��'J����G ��P� �G(��9e/� <br /> ls/are the requested record(s) to be used for a comrnercial purpose? _Yes �No <br /> �/ - <br /> � <br />