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ORONO ADMINISTRATIVE OFFICES <br /> INFORMATION DISCLOSURE REQUEST " <br /> • MINNESOTA GO DATA PRACTICES ACT , <br /> • REQUESTER NOTE= <br /> A. Request Frequency - Private Data on individuals. After you <br /> he <br /> have been supplied the data and of for <br /> .unless <br /> monthsits ethereafter " <br /> data need not be disclosedyending or additional data -on <br /> .unless .`a dispute or action is -p <br /> you .has been collected. <br /> You may be required to pay "actual costs in making, <br /> certifying <br /> B. and/or compiling the copies of information <br /> requested. <br /> Date of Request: <br /> 0 <br /> Air-4I <br /> et Name: Ce�I <br /> Request / <br /> ,,oll, .. S�c,e' `' i �i - City: a <br /> Address: ,,I, <br /> Zip: -C7 3�( / .-�5-_ ,-� <br /> j 3 3 Business <br /> Home Phone: <br /> Description of Information Requested: <br /> i . <br /> I"- �I �; ce,i �- . <br /> Ar7 r r' -'-^---_, <br /> gequester'. s Signature: ,�s .Aii& <br /> BELOW INFORMATION TO BE FILLED IN BY DEPARTMENT ONLY <br /> n Handled By: !� <br /> Department: U��2 <br /> Mail _=hone <br /> Request Type: of In person " — <br /> Subject of Data vc Not Subject of Data <br /> Requested By: — t` <br /> information Requested is Classified: <br /> pt Public Private <br /> Non-Public <br /> Protected Non-Public <br /> Confidential. — � ;n Part <br /> Request is: Approved <br /> Denied Approved __ <br /> Remarks/Comments: <br /> Authorized Signature: - <br /> Fees: xTotal Due <br /> No. of Pages Rate per Page <br />