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Au~ 19 10 12:46p Micke~ A. Steiman
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FOIL Ser. #:
Chris Masterson 0
Christine Fulton 0
Sue Rose ''Vi''
LI 13,../'--L C5"
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
EOR INTERNAL USE ONLY
Received by:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR ~
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATIORNEY 0
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Date Received:
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EOR DE' ARTMENT USE ONLY
Date R.eceived by Dept
Department Head approval:
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(init)
Date Applicant Contacted: _'_'_
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Date: ~ / z~,1 ()
Notes: t-Jo reCbYc:l$ \~ ~...
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Amount Due~ _ Pages for a total ofS
Name:~ 'e-"l
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Agency or firm: Lo.~ ~~c...e.s C) ~ ~UAi ~ ~
Te1ephone##:(ca4~.zn- ~~~ FAX#: ('"Jr4S)'Zt9 -<.os<..~
Email address:
o check here if you are
requesting that the records
be mailed to this addr~6.
SPECIFIC DESCRlPTION OF RECORD:
Any correspondence, notes, memoranda, documents and materials submitted by
or concerning the Foundation for the Chapel of Sacred Mirrors and/or Alex Grey.
FORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the record(s) described above
o I request topies of the records described above ao.d agree to pay the cost of such records in
accordance with the fce schedule on the back of this application
o 1 request that the records be smt via e-mail to the addrc&8 listed above
o 1 request that the l"e(i()rds be faxed to the number listed above
0501236600
TRANSACTION
REPORT
AUG/23/2010/MON 01:20 PM
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FAX(TX)
E~==I~~TE _ISTART-T~HRECEIVER-----------------ICOM~IMEIpAGE11YPE/iOTE--------------------I----j
______ __________ FILE
_~~~ ~~G/23 01:15PM 2296338 -------------- -O~OO~35 --1- MEMORY---oi------------------ ----
---- -------- ------------------------- -------- ---- --------------------------~~~ ~~~~
Au~ 19 10 12~4Gp Hicke~ A. Steiman
I\UU{ 1/1 t.UIUI 'v':' v.j. 1.J nl"
EOR INTBRNAL USE ONI.. Y
Received by: .
Chris Ma&terson 0
Christine Foltbn if 0
Sue Rose
L I .L:t 11.._9.-
~
bate Receive.d:
rOn. Ser, #;
DEPARTMENT:
ASSESSOR 0
ACCOUNfINO 0
COD:E ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECENER OF TAXES 0
RECREATION 0
SUPERVISOR ~
TOWN CLERX 0
W A TBRlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATrORNEY 0
B45-229-6338
t^^ lOU, fJ't.J
p.?
I, VVL
2009.10-16 JCM
TOWN OF WAPPINGER
'Application for Public AcCess to Records
FOIL REQUEST
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EQB. pEP!Jt.TMBN1' USE ONLY
Date Received by Dept
Department Head approvll1:
I I
(init)
Date Applicant Cont~ted: _, ~ I _
DaIo FoiL fulfiU.d or M-1 ~
Closc:dby: ~
pate: ~I z~lll)
Not('$~ N 0 r~$, \'I('\_~-r
~~c:.e~. _
Amount Due: --'- Pages for a total of'S
N...: ~ 'l:."~ Q cheol;bere if you ...
Address: q ~~-!-~o..~ -~ requesting that lhe records
~ .l2...~~~ . be :mail~ to this address.
Agency OJ' fum.: Lo"f.):i ~~u!'s Q~ ~\.I.D.J ~ ~
Telephone #: ("i4'::) tn-J,Q.~lt'\ FAX #: (~S):u:i.. <o~~~
Email address:
SPECIFIC DESCRIPTION OF RECO'RD:
Any correspondence, notes, memoranda, documents and materials submitted by
or concerning the Foundation for the Chapel of Sacred Mirrors and/or Alex Grey.
PORMA T OF RECORl:> (if available)
-.--.... : .-. . ......... ." " .. ...
.,.:
1 request tQ be notified when I can come ta inspect the reoord(s) described above
o I nKlue.t copies of the record. deBon~ _~ve ~~ agree to pay the cost of such [~rd8 in