HomeMy WebLinkAbout1988 & 1998 Information requests ORONO ADMSNIS�R.ATIVE OFFICES
I�FORMATION DISCLOSURE REQIIEST
MINNESOT� Ga DATA PR�CTSCES ACT
' gEQUESTER NOTEs
A, Request Frequency - Private Data on individuals. Af ter you
have been supplied the data anci informed of its meaning,
the
data need not be disclosed to Yeriding or a ditional edatat-on
u n l e s s a d i s pute or ac..ion is p
you has been collected.
g. You may be required to pay actual costs in making,
certifying and/or corr�piling the copies oi iniormation
requested.
Date of Request: - � �
Requester Name- ._
City: _
Address:
Zip: �
HQme Phone:
Business=
Description of Information Ftequested:
Requester'. s Signature: -
BELOW INFORMATION TO BE FIT�.LED IN BY DEPARTMLNT ONLY
' > � Handled Bv: 1 .
Depart�ent: �; -- �-_
� In erson Mai1 Phone
Reqnest Type: p
Subjec� or Data ,�c� Not Subject of Data
gequested By: `
Inf ormation Reqa
ested is Classified: �_�ublic Private
Coniidential
Norz-?ublic :rotected Nan-Public
gequest is: \' Approved Denied Approved in Part
Remarks/Car�ents:
Authorized Signature:
' ( C�_ ; ., -
, _ $
Fees:- X Total Due
No. of Pages Rate per Page
ORONO ADMINISTRATIVE OFFICES
INFORMATION DISCLOSURE REQIIEST
MINNESOTA Ga DATA PR�CTICES ACT
' gEQIIESTER NOTE: .
A, Request Frequency - Private Data on individuals. After you
have been supplied the data and informed of its meaning, the
data need not be disclosed to you for six montns thereafter
unless a dispute or action is pending or additional data -on
you has been collected.
B, you may be required to pay actual costs in making,
certifying and/or com�iling the copies o= ins"ormation
requested. . '
i
Date of Request: ���1'i ��� � "( (� I
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�equester Name: � ` ` � �
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Address: C �� City: �� �
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Des cription of Inf ormation Ketsuested: ��G��i" �.
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I,
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Requester'. s Signatu�e: ' I�
BELOW INFORMATI O BE FII�I,ED IN BY DEPARTMLNT ONLY i
Handled By: i
Department- ;
Mai1 Phone �
Request Types In person i
g ested B Subjec� o= Data Not Subject of Data �
� y= ` I
Inf ormation Re�qa
ested is Classified: �ublic Private
Confidential Non-?ublic =rotected Non-Public �
i
Approved in Part �
gequest is: Approved Denied _ _ .-
Re.marks/Camments: ,C
�'e.� .
ture: j ii� ��n►i'�; ' ' ' ' `Qn�
Authorized Signa .F�_
_ $
Fees:� X Total Due
No. of Pages Rate per Page ••