83-127
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EXHIBIT IlKl1
1!'oi~.l RU"'TII)~~S: Person recelvmg request completes
Sll1!m1J. Section ~ Is completed by requestor. Department
col't'lc:lletes Sections 3 and 4, Retentlon~ Orlglnal-
Custodiani 1st Copy - Records Centeri.2nd Copy -
. Rl::qu'cstOrj 3rd Copy - City Manager.
SECTION 1
REoueST NO.
DePARTMENT
REQUEST RECEIVED BY
DATI!
RECORDS REQUEST. SECTION 2
NAME O~ REQUESTOR (Typed or Printed) hDD,RESS/PHON7-NO. /
r L1- ~'111 L.L..v 11, J 11 l. / C e-tU-r 4- -.J.e, :.e. (!J-t
I WISH TO o I NSPECTrne6PY THE F LLOWING RECORDS: (Describe in detail. Use reverse of this form
If additional space is required). () A \.- ;r.:J 7 I; - / /..l () c-
. Ai!.St>LLlT/tJJ.....~ - 7 ..J - 7,d-.J
70 r4l^.<....J-- ~ Me} .J:. ~-r>-.-J)~ (h YJ16~
Lt c-6.c! . (j k I;~ Lie Si&~ature _7e L ~
the ti e required to process your request will be determined by the a\'allabillty of personnel .:1nd equipment;
however I unless you are notified otherwise your request will be processed within filJc (5) working cays.
DEPARTMENT RESPONSE. SECTION 3
~ . .
ACCESS ALLOWED. You may access the requested records. Copy charge is normally 25 cents per p.:1gc,
unless request is unusual (especially time consuming, etc.) in which else the charge will be based upon the
salary rate of the employee(s) servicing your request, in addition to the duplication charge. If you'r request is
routine but you do not desire a copy I charge CTlay be based ufon salary rate of employee(s) servicin!: your
request. DATE: I1Z.k ~,.~ TIME: (1O'lL.V~ OF ACCESS
o ACCESS DENIED. It has been determined that the records you bve requested Jre .:xempt under the pub.
lie records law for the following reasons:
~ WE DO NOT Ijt VE THE RECORD AS). Explanation: )
t"-,,..b I!- (j C e. rJ-( ~ L f.j - S- ')-j (/) ,yc. ')1 .
/!) - .s-'J-y- l "iIu -- ~ 3 ) .;t. f.( ~~.J r!...gJl;,' d 1.Le.-<._,v
II-- 1 f - 9$.... ,..Lo C F'< ....-,: () 0
<9-v- &'I.JJ ~t--J.~ fh~L~.j)
DESCRIPTION OF CHARGES
~" ~,--
~=
TOTAL
(If addltlona/space is required to complete any of these items, use reverse of this form).
REQUEsrOR
NOTIFIED (DATE/TIME)
WHO SENT NOTl FI CATION?
Il
I certify th:I.t,notlficatlon of final agency response
was carrIed Out as stated above.
-2-
TURE OF DE?ART~\ENT HEAD
I certify that notification of final a5enc'i :e::;:orse
was received b~' me in person.
EX 13
REQUESTOR SlG~ATL'RE
.EXHIBIT UK"
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