047
FOIL Ser. #:
Christine Fulton ~/
Jessica Fulton p
~/!1IJQ
L(J
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
DEP ARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 1tl-
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
Date Received:
FOR DEP AR TMENT USE ONL Y
Date Received by Dept
Department Head approval:
3ILI/;}..
~fm
Date Applicant Contacted: c3 I l!L I I ;z,
Date FOIL fulfil1e~ _ I _ I _
Closed by: ..j3/C
Date: 3 I ffl 1b0
Notes: it: SPEC /1"', i: - CA"'NO r
~ 0 _AI J.te-r '1< eP()~/S '
Amount Due: Pages for a total of $
Name: /Yl'- c J, 4. eL D I j)/ 5 (\ -:PI I~ 0 check here if you are
Address: 17 'it; S t' c:.~ 'r-A. R cL requesting that the records
p /y v,S Ii k t? e f) f;,~e .v t' I J...6 tJ I be mail ed to this address.
Agency or firm: f/cJ/di- tAlAJ . t:lj),..es,~
Telephone#: (~4S) 4T~ - l/~-I/ FAX#: ('INS- ) 4S'') - &-/~T
Email address: M ,', StL H:L t= ~ r? ~ ~ · . c.lit)t1. ( () A1
SPECIFIC DESCRIPTION OF RECORD:
(oM/'II.e~"(.t'c.. ( CON:' (f\()c'i,O'1l fJ-PlI'lYl, '16
-( " t^ 'r It e [' k "'5 {- t.I pel p'\
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FORMAT OF RECORD (if available)
D I request to be notified when I can come to inspect the record(s) described above
D 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
J I request that the records be faxed to the number listed above