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Home My WebLink Aboutinformation request ORONO ADt�i1�7IS�RATSYE ��'=�S ' �7FORMATION DISCLOSURE RE4�ST • . �NNESaTA Gp DATA PR�CTICES �.CT , • ggQUES�E�Z NOZ`E: . A, pecruest Frequenc� - Private Data on individuals. F�te'-' �°hu� h�.�-e been supolied the aata and ouf fQ esixfaon�.:nse hereafter � data rze�d not be discZosed to y .unless ��a dispute or ac�i.on is -pendinq or additional aata -on you .has been collected. �- You may be reauir�ec to pay ��actual costs in ��k'-nQ; B. zhe copies o� in=or�atior_ certifying and/or co�piling requestea. �/�� D ' � � Date of Reques�: . • � �C/ ReQuester N�.e- ' .� _u � �� . �,� � � , City: p�dress: C� ` � Zip= � gusiness- H�e Phane: I >� Descr u ' on f o _ ation X _ ested:. ' '"�' / / J /" . Retraester'. s Signature- BgyOW 127't�ORMATION TO BE FILI��D IN BY DEPART2�'`NT OKI'�-' Ha.n.dle3 Fy: D ep ar;"�.ent= MaiZ Phone ge�uest fiype= In person . — — ge�aes�ed By= — Subjec� o= Data Not Sunje�� o= Dat� �unlic __Private TrLfo�atr.on Reqaested is Classified= _ Naz-�ublic =rotected Non-PubZzC Con=idential � — pDproved in Pat Aoproved Deni�a -- - � gersuest is: _ — Re�arks/Ccr�ments_ % _ , ^�7 / . _ G;j�' �' � � � /� ,,...,�.: � .,_:�<,,,,,.�„ gn�horized Signatare: ` : , � r //•.�•4�J• � � Pees:- X Total DLe _, No. of Pages Rate per Fage � ��'� � , �r ��3 �% � ��`'v� a'�' _ � �,�,,,�,: , � , � �� r�� s c �� 5� . � � � � � � � 3�7 �, - ,� a�. ) �U�� 3 � �� =� � _ � �� . ��`J � � , �� - � 1 � 7� �- �' 1 � �=� � � � �o �� _ � � � � 1 � �s � �/'u�� ; �.� ��=� S� �/ � C> C- 2� � 1� � " - � �� _ `� �"� ��c � � � � �:�. ��. ✓ � � , �� . � � � �. - ?� � . �� ; ��-�--� � �S � G ✓ � �� i s _ �� ' �/° � � � � �� .