147
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Received by: Chris Masterson 0
Christine Fulton M
Sue Rose 0
Date Received: 5.. / jl..P / ~ II
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FOIL Ser. #:
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DEPARTMENT:
ASSESSOR ''R'l
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept 5 /) b /!.L
Department Head approval:
(init)
Date Applicant Contacted: _ / _ / _
Date FOIL fulfilled or denied: S. / / h / /I
Closed by: !i;)/"L 7 -
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Date: '1c1c1tJ'~.. OSS.~c- / 1& / Zoll
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Notes: c; 9 1 ~
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Amount Due: ~l s for a total of $ If 0 0
Name:
Address:
RilrJtJ I ~ DONNA Fe:i<.JrJC
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o check here if you are
requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: (8'</) ) 2"J& - J~ 3 3 FAX #: ( )_-
Email address:R.F~/f./E ~GMft J L. C-o M
SPEC~C DESCRIPTION OF RECORD: /)
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FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record( s) described above
o 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
o I request that the records be sent via e-mail to the address listed above
o I request that the records be faxed to the number listed above