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WAC 132V-24-990

Appendix "A"—Request for public record to Community College District No. 22.

Appendix "A"
Request for public record to
Community College District No. 22
(a)
. . . .
Signature
. . . . . . . . . . . . . . . . . . . . .
Signature (Please Print)
 
. . . .
Name of Organization, if Applicable
 
. . . . . . . . . . . . . . . . . . . . . . . . . . .
Mailing Address of Applicant
. . . . . . . . . . . . .
Phone Number
(b)
. . . . . . . . . . . . . . . . . . . . . . . . . . .
Date Request Made at
Community College District No. 22
. . . . . . . . . . . . .
Time of Day
Request Made
(c)
Nature of Request . . . .
 
. . . .
 
. . . .
 
. . . .
(d)
Identification Reference on Current Index . . . .
 
 
Please Describe
 
. . . .
 
. . . .
 
. . . .
(e)
Description of Record, or Matter, Requested if not Identifiable by Reference to the Community College District No. 22's Current Index . . . .
 
. . . .
 
. . . .
 
. . . .
 
. . . .
Request: Approved . . . . .
By . . . .
 
Date
 
Public Records Officer
Denied Date . . . .
 
Reasons for Denial: . . . .
. . . .
. . . .
Referred to . . . . . . . . . .
By . . . .
 
Date
 
Public Records Officer
[Order 11, Appendix A (codified as WAC 132V-24-990), filed 4/27/73.]
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