HomeMy WebLinkAbout03/13/1998 Info discl. requ. ORONO ADMINISTRATSVE OFFICES
INFORMATION DISCI�OSIIRE REQIIEST
I�SII�7NESOTA GO DATA PRACTICES ACT
REQIIESTER NOTEs
A, Request Frequency - Private Data on individua?s. After you
have been supplied the data and informed of its meaning, the
data needdnstube orsaction is pending or add tional edatat-on
unless a p ,
you has been collected.
B, You may be required to pay actual costs in making,
certifying and/or compiling the copies oi information
requested.
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Date of Request: �
Requester Name: �
City: �
Address: �1��
Zip= �S �� — ��J,,l
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game Phone: '` Business=
Description of Information Reqa
ested: � ��//�—
Requester' s Signature:
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BELOW INFORMATION TO BE FILLED IN BY DEPARTI�?NT ONLY
Handled By:
Department:
In erson Mai1 Phone
Request Type: P
g ested B Subjec� or Data Not Subject of Data
equ Y=
Inf ormation Requ
ested is Classified: aublic Private
Confidential Nor.-�ublic =rotected Non-Pubiic
Reqnest is:
Aporoved Denied Approved in Part
Rpmarks/Camments-
Authorized Signature:
_ $
Fees: X Total Due
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