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ORONO ADMINIS�RATN� OFFI�S <br /> �tEQIIEST <br /> �FpRMATION DISCI�DA P��I�S ACT <br /> HINNESOT� Ga . <br /> ggQUESTER N�TE= �- on individuals. Afte'-" You <br /> A, Request Frecuenc� - Private Da�a the <br /> have been supoliea the data ana i fforesix montnsethereafter <br /> data need not be disclosed to yo <br /> ute or ac�ion is pe ding or additional data -on <br /> unless a disp . <br /> you has been collected. �tual costs in making, <br /> g , You may be requirAd to p�Y <br /> � ,e copies oz iniormat=-or_ <br /> certif ying and/or corTpi ling <br /> requested• � <br /> Date of Request= <br /> ;_ ? .._`� _ 1�1`) � <br /> � �5+-{4-�Z <br /> Requester Name s ��7''�v J <br /> .-- <br /> 1�b� � �; ^ c�ty: �s'�ti� �.� <br /> v�, ,�-.12�-C"� <br /> p,ddress: <br /> Zip: �'�'��� �'�, ��—�'I Z��I <br /> g�,e Phone: <br /> ��1 ti - ([,'L� l Bu iness : <br /> Descrip�on of Inf°r�a��n ��ueste�l.: <br /> C� �-'-��( V �Y� S�`�.5.'� '►�''Y��� <br /> Re�uester` s Signature: _ <br /> Bg�,OW INFOg.MATION TO BE FII.LE� N BY DEPARTME�NT ONLY <br /> , Z H�ai� By: � • — <br /> De art�e-at= � <br /> � z Phone <br /> I� person Mai_ <br /> Request Type= —�— <br /> Reuuested By= _Subjec� or Data <br /> �Not Subjec� of Data <br /> Information Reqneste� is Classified: <br /> � ?ublic _P=ivate <br /> Nor�-�ublic -rotected Non-PuDZic <br /> Coni=c.e*�t�a1 — <br /> — �DQroved in Part <br /> Request is: <br /> �j(_Approved __D�ni a <br /> Re�ar3ts/Ca��ts= <br /> Authorizesi Signatizre: "� <br /> = S <br /> X Total Due <br /> Fe�s: Rate per Fage .. <br /> No. of Pages <br />