HomeMy WebLinkAbout2001 - info discl ORONO ADMINISTRATIVE OFFICES •
=NFORMATION DISCLOSURE
• MINNESOTA CODATA PRACTICES ACT
•
REQ17ESTER NOTE: .
A. Request Frequency - Private Data on individuals. After you
he
have been not be
he data and closed to youf fored sixf its monthse thereafter •
data need not be �, or additional data -on
.unless :'a dispute or action is pending
you .has been collected.
you may be required to pay 'actual costs in making:
B• the copies of information
certifying and/or compiling
requested. •
�
Date of Request: d/
Requester Name: Cfr r E_i? - ' c` .
City: /� 15
Address: G • e co►2 .
zips � '
� � ' ' c7/Home Phone: .. ��/ 'x`77 Business: �
Description of Information Requested:
r (V; /ci tr's/`
-!J c.,...; '‘7.--.._ C� r' ' .‘
WO
Requester's Signature:
BELOW INFORMATION TO BE FILLED IN BY DEPARTMENT ONLY
Handled By:
Department:
Mail Phone
Bequest Type: __In person — —
Requested By:
Subject. of Data Not Subject of Data
Information Requested is Classified:
Public _Private
Confidential
Non-Public _Protected Non-Public
Request is: Approved
Denied Approved in_ t
Par
Remarks/Comments:
•
Authorized Signature: .
= S
Fees: x Total Due
No. of Pages Rate per Page