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v <br /> ORONO ADMINISTRATIVE OFFICES <br /> INE'ORMATION DISdD <br /> MINNESOTA GO ATA PRACTICES ACT <br /> REQUESTER NOTE: ou <br /> A. Request Frequency - Private Data on individuals. After the <br /> have been supplied the data and informed of its meaning. <br /> six months <br /> data need not be disclosed to .YOU <br /> c-,.. on is pending or additional trea er <br /> unless :•a dispute or a <br /> you .has been collected. <br /> cos <br /> B. You may be required to pay actual costs in making, <br /> certifying and/or compiling <br /> the copies or information <br /> requested. <br /> of Request: <br /> 2 �� <br /> Date Qu n � <br /> Requester Names I <br /> 2 S e City: f'•D 1/l <br /> Address: <br /> • Zip: - _ 2 <br /> j <br /> -f� ess: <br /> Home Phone: <br /> D c iption of Information Requested: � <br /> S L �4 S Ian �ar Q� P� v wS <br /> Re ester's Signature: <br /> BELOW INgORMATION TO BE FILLED IN BY DEPARTMENT ONLY <br /> 97 Handled By: <br /> Department: <br /> Request Type: v� In person . <br /> Mail Phone <br /> Requested By: Subject of Data <br /> � Not Subject of Da a <br /> information Requested is Classified: Public o Priva DT <br /> Confidential <br /> Non-Public protected Non-Publi <br /> Request is: _ Approved Denied <br /> Approved in Pa <br /> Remarks/Cc=ents: <br /> Authorized Signature: <br /> Fees: x Total Due <br /> No. of Pages Rate per Page <br />