HomeMy WebLinkAboutOTH Record Requests - 6/10/2013 Date Stamp:
RECEIVED
PUBLIC RECORDS REQUEST FORM
Ki[lik.,ibY V i.:! Mason County
Commissioners
JUN102013
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Received By:*1),-e
Name Phone
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Record(s) requested: Please describe a specific identifiable record. Include document name, number or date if known.
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❑ I would like to inspect the record(s)at no charge
I would like a copy of the record(s):'O Mailed ❑ Faxed C,� Emailed (if available in electronic format) ❑Picked up
Please allow 5 business days for a response to your request. RCW 42.56.520
1 agree to pay all copy charges pursuant to Mason County's fee schedule. RCW 42.56.120
1 certify the information obtained through this request will not be used for commercial purposes. RCW 42.56.070(9)
Requestor Signature ���Ilc�1 0+ = ,� a`r ° Date ��'�e�
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❑ No responsive recor was located.
❑ The record is exempt rom disclosure pursuant to RCW (attach exemption log)
❑ Portions of the record are exempt from disclosure and have been redacted pursuant to RCW
❑ Request forwarded to
❑ 5 day response Date
Number of pages Fees Due$ ❑ Payment received
Completed By: Date: La — 10 -
Records were: ❑t'Ma ed ❑ Faxed �Emailed ❑ Picked up
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