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 . . . . . . . . . . . .
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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. 22'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 . . . .      . . . . . .			By . . . . . . . . . . . .
		Date		Public Records Officer

[Order 11, Appendix A (codified as WAC 132V-24-990), filed 4/27/73.]