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99FOR INTERNAL USE ONLY
Received by: Christine Fulton ^
Jessica Fulton
Date Received: ~ / ~Q
FOIL Ser. #:
DEPARTMENT:
ASSESSOR ^
ACCOUNTING ^
CODE ENFORCEMENT ^
PLANNING
ZONING ^
FIRE INSPECTOR ^
HIGHWAY ^
RECEIVER OF TAXES ^
RECREATION ^
SUPERVISOR ^
TOWN CLERK ^
WATER/SEWER ^
DOG CONTROL OFFICER ^
TOWN ENGINEER ^
TOWN ATTORNEY ^
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept _ / _ /
Department Head approval:
(init)
Date Applicant Contacted: _ / _ /
Date FOIL fulfilled or denied: /
Closed by:
Date: 6 /~~ / / ~
Notes: ~~,D.co~
Amount Due: Pages for a total of $
Name: Frederick D. Rc~nig, Esq. ^ check here if you are
Address: 8 Barrister's Row, Suite 1 requesting that the records
Wappingers Falls, NY 12590 be mailed to this address.
Agency or firm: Romig Law Office
Telephone #: (845) 297 -1000 FAX #: (845) 297 _ 1959
Email address: bet's@rcHniglaw.ccan
SPECIFIC DESCRIPTION OF RECORD:
FORMAT OF RECORD (if available)
gl 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 a-mail to the address listed above
^ I request that the records be faxed to the number listed above
