2023-373Click here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to lmcconologue( tuwnofv✓at�p rr�e�g v or
grobiiisoii(cr townofwappijigeriiy.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY TOWN OF WAPPINGER
Application for Public Access to Records
Received by: Joseph R Paoloni 11 Received FOILREQ
Lori McConologue
Grace Robinson 0
DEC 19 ZOZ3 n
Date Received; / _ / la. C
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FOIL Ser.#: J 373 -r n � L'av'ing pf °
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DEPARTMENT: �. ,., WA
ASSESSOR
❑
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
0
RECREATION
EJ
SUPERVISOR
11
TOWN CLERK
❑
WATER/SEWER
❑
DOG CONTROL OFFICER
'T'OWN ENGINEER
TOWN ATTORNEY
❑
FOR DEPARTMENT USE ONLY
Date Received by Dept 1 ' /(q / 3
Department Head approval: I (1i �t
Date Applicant Contacted: 1 fPk
Date FOIL fulfilled or denied: / /
ZA
Closed by:
Date:
Notes:
�. I Amount Due: Pages for a total of
Marne: 0 t' ✓ g ®check here if you are
Address: i �'c i c�[ requesting that the records
'�, [ri,F���t ' I I'll be mailed to this address.
Agency or firm:I—� P Pl-i'n4 - x.1
Telephone #: 3) �, 1 - i a 0 FAX #: -96) ,00
Email address: 5 z +k
SPECIFIC DESCRIPTION OF RECORD:
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FORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the record(s) described above
I request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
I request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above
Dutchess ProPrint
Printing I Copying I Design I Mailing
1299 Route 9 Ste 105
Wappingers Falls NY 12590
845-298-8898
Accounts Payable
Town Of Wappinger
20 Middlebush Road
Wappingers Falls NY 12590
F] PAID IN FULL CSR
Cash Debit
Check #
Date
Customer Called Emailed
Date
Charge I VISA Mc AMEX FJISCOVER
:N6Date
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SHIP TO:
Town Of Wappinger
20 Middlebush Road
Wappingers Falls NY 12590
Fax: 297-4558
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P. C. ve- j-
Received by , Date
Terms Net 30 Days
Pay from this invoice
Dutchess ProPrInt - 1299 Route 9 Ste 105 - Wappingers Falls NY 12590 , 845-298-8898 (print# 1)
TERMS AND CONDITIONS ARE LISTED ON REVERSE SIDE.
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P. C. ve- j-
Received by , Date
Terms Net 30 Days
Pay from this invoice
Dutchess ProPrInt - 1299 Route 9 Ste 105 - Wappingers Falls NY 12590 , 845-298-8898 (print# 1)
TERMS AND CONDITIONS ARE LISTED ON REVERSE SIDE.
01/18/2024
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, IVY 12590
(845) 297-6256
FEES PAID
Reference:
SUZETTE MERRITT 6257-04-746352-0000
Merritt, James
33 Truffle Ridge Rd
Date
Fee
Check No. Receipt No.
PayType Amount
01/18/2024
1 COPIES
2024-00063 ICASH
1 $51.14
This is a receipt for payment of fees. This is not a building permit.
Date Printed: 01/18/2024