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F(~R INTERNAL USE ONLY
Received by: Christine Fulton U '
Jessica Fulton
Date Received: ~ 1 ~/
FOIL Ser. #: ~ ~ `~ dNldt'
DEPARTMENT:
ASSESSOR l~
ACCOUNTING 0
CODE ENFORCEI~iEN'I' ~
PLANNING ~9,
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FIRE INSPECTOR ~ •
HIGHWAY 0
RECEIVER OF TAXES
RECREATION C7
SUPERVISOR ^
TOWN CLERK ~ ,
WATERISEWER
DOG CONTROL OFFICER LJ
TOWN ENGINEER
TOWN ATTORNEY (7
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TOWN OF W.A,PP~NGER
Application for Public Access to R,ecards
FOIL .Q UEST /T~ /~j{ `l N 7 9
~~ V~~~~~V ~1 1 • V
FOR ,pEPARTMENT USE ONLY
Date Received by Dept ~ I ~1 i v"Z
Department Head approval: ~>-•
e M~ (~'t)
Date Applicant Contacted: ~ 121 % Z
Date FOIL fulfilled detaie ~ ! ~/ % Z--
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Closed by: ~ ~'
Date: '/ ~ 1 Z ~'I I ~
Notes:
Amount Due: Pages for a total of $
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Name: Mer;s~a'~f~n ~ z, ^ check here if you are
Address: 2t1 "Da-v ;~ k~F-~e . requesti~ag that the records
Po,~~1,.~ u Y 12 ip tl 3 be mailed to this address.
Agency or firrrt: ~~ • t S
Telepb~aue #: (~+ts MSt. -1v5~ AX #: (8'~5 ) y~~ - 063
Email address: ftiel:~,,~~,~ ~ecos~,~,.} S~ra~~: ~S. ~ o~"`
FORMAT OF RECORD (if available)
~ I request to be notified when I can come to inspect the retard(s) described above
0 I request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule en the back of this application
^ I request that the records be sent via a-wail to the address listed above
^ I request that the records be faxed to the number listed above
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'TRANSMITTAL DOVER SHEET
TO: Records Access Officer PAGES: 2 {including cover sheet)
FAX: 845 298147$
FROM: Melissia Pentz; Ecosystems Strategies
DATE: June 28, 2012
RE: FOIL
ESI Job Number: CW12115
COMMENTS:
Please see attached far FAIL request- ~,
cc: File
);f you do not receive all ttbnsmicted pis, pleasc confect us immediately at ($4S) 452-1658.
This t*ertstttission is confidential and intended solcly for the individual or ea~tity to which it is addressed. This transmittal »tay
contain ial'ortnafion which is privileged. If the reader is not the intetxdecf recipient, please destroy this communication. Xou are
hereby notified that any disclosure, dissemination, or distribution of this co~ntimuftic~tion is strictly prohibited.