132K-276-990 - Appendix A - Request for public records

132K-276-990. Appendix A - Request for public records

Appendix "A"

Request for public record to

Community College District No. 11

(a)

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Signature

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Signature (Please Print)

  

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Name of Organization, if Applicable

  

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Mailing Address of Applicant

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Phone Number

(b)

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Date request made at Community

College District No. 11

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Time of Day

Request Made

(c)

Nature of Request . . . . . . . . . . . .

  

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(d)

Identification Reference on Current Index . . . . . . . . . . . .

     

Please Describe

  

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(e)

Description of Record, or Matter, Requested if not Identifiable by Reference to the Community College District No. 11's Current Index . . . . . . . . . . . .

  

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Request: Approved . . . . . . . .

By . . . . . . . . . . . .

  

Date

Public Records Officer

Denied Date . . . . . . . . . . . .

  

Reasons for Denial: . . . . . . . . . . . .

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Referred to . . . . . . . . . . . .

Date . . . . . . . . . . . .

  

By . . . . . . . . . . . .

Public Records Officer

Order 18, Appendix A (codified as WAC 132K-276-990), filed 5/11/73.

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