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2009- 10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by: Chris Masterson 0
Christine Fulton 0
Sue Rose 0
Date Received: I I
FOIL Ser. #:
/55
HIGHWAY
RECEIVER OF TAXES
RECREA nON
SUPERVISOR
TOWN CLERK
WATER/SEWER
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DOG CONTROL OFFICER ~
ro'i\ I~ t:l'l\JlNt'.J:,K
TOWN ATTORNEY 0
DEPARTMENT:
ASSESSOR
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FOR DEPARTMENT USE ONLY
ate Received by Dept rg
Department Head approval:
1::2 I/O
(init)
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Date Applicant Contacted: ~ I d I I 0
---
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Date FO~ denied: y- I ~ I ~
Closed by: ~~.Q,Jt€1~
Date:
JI ~I JsL
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Notes:
9 (cl'_~
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Amount Due: ~ Pages for a total of $ . t; a
o check here if you are
requesting that the records
\ 2%.3' be mailed to this address.
FORMA T 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
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