214
TOWN OF ,,, APPINGER
20 MIDDLEBUSH RD.
WAPI)INGERS FALLS, NY 12590
TOWN CLEIUC
OFFICE: 845-297-577] ~ FAX: 845-298-1478
6
APPLICATION FOR PUBLIC ACCESS TO RECORDS
Date Request Received: q....cJ. )-( 0 FOIL # ().I ~
Recorded: Chris Masterson, Town Clerk
From:
Print Name: ?~/- ~~h I!' V'
Agency or Firm:
Address: .? tjt( tP j2f- 9 D
Tel. #: ~9g-'/b?// Fax#:
I hereby apply to: ~ect the following record and/or
receive a copy ($ .25 c~nts /page if available to the public
Description of record requested: del,' .
",-- C ;; r
G;~O#/DENlED
~BY:
RECEIVED BY: 9-~P/O
DATE RECEIVED: tJ-rJ- J-~ (0
o In Review ~ed 0 Denied 0
Open
APPOINTMENT SET:
Q-Jr= /t)
.,...----.
DATE FILED:
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