WAC 132B-276-990   Appendix A -- Request for public record to Community College District No. 2.  



APPENDIX "A"


REQUEST FOR PUBLIC RECORD TO

COMMUNITY COLLEGE DISTRICT NO. 2

. . . . . . . . . . . . Signature		. . . . . . . . . . . . Name (please print)
. . . . . . . . . . . . Name of Organization
. . . . . . . . . . . . Mailing Address of Applicant		. . . . . . . . . . . . Phone Number
. . . . . . . . . . . . Date Request Made at Community College District No. 2		. . . . . . . . . . . . Time of Day      of Request
Nature of Request . . . . . . . . . . . .
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Identification Reference on Current Index (please describe)
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Description of record or matter requested, if not identifiable by reference to current index of Community College District No. 2
. . . . . . . . . . . .
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Request . . . . . . . . . . . . Approved	. . . . . . . . . . . . Date	By . . . . . . . . . . . .      Public Records Officer
Request Denied	. . . . . . . . . . . .	Reasons for Denial . . . . . . . . . . . .
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Referred to . . . . . . . . . . . .		Date . . . . . . . . . . . .

[Order, Appendix A (codified as WAC 132B-276-990), filed 10/28/74.]