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C11T'S( I1T 1C` <br /> FIJI�IE{C Uk11SLES�1111 1€ EEST FUI INFf)lltlfATlt)1T <br /> I (425)25 -81 283'7 Yet�tc�r�*Ave.' <br /> $.15 per page for costs of copying (Title 42 I .C.W.) <br /> Requestor's Requestor's <br /> Printed Name: j U � Signature: <br /> Address: t G " t+e-)Q L-4 C Phone No.: �C�1. t ` ? 6 - c,2 ra <br /> Business Name <br /> Allow me to: inspect ,/request a copy of the following records: <br /> If record(s) concern individual(s) other than requestor. Please state. <br /> Is/are the requested record(s) to be used for a commercial purpose? Yes --/No <br /> Request was made: f" In person By phone Fax Mail <br /> Date request received: By (Dept.): Response Due date: <br /> Allow access. The applicable department has been notified, and <br /> 4 you may access the 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 /> Date Requestor notified: By Mail By Phone In person <br /> I certify that notification of final City response was carried out by me as stated above. <br /> Signature of Notifying Employee: <br /> No. of copies Certified Treas. Receipt # GL-002 341 61 00000 <br /> Copy 1 - Clerk's Office -/Copy 2 -Appropriate Dept. Copy 3 - Requestor <br />