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REQUEST FOR RECORDS PURSUANT TO INDIANA ACCESS TO PUBLIC
RECORDS ACT - (I.C. 5-14-3-1, et seq., As Amended).
I, ~ ~'~~ ~'- w u-'~- ,hereby request of the City of
Date of Request:
Signature: 1~ ~' , w ~~
(OPTIONAL)
THE CITY MAY PROVIDE ME WITH ITS RESPONSE:
^ By telephone at: ~ ~'~ ~' ~ ~~
^ By facsimile transmission at:
^ By mail at:
^ Other:
OFFICE USE:
Received by: L:,v h r~ i P / i i'lo ~e ~,J Dept: !'~ O C'
(Print)
Signature: ~ Date: ~S -C~ 9 Time: ~
Sent to Legal Department by:
*** SEE REVERSE IF SENT TO LEGAL DEPT.
On:
FILLED WITHOUT NOTIFICATION TO LEGAL DEPT.: Y / N
~ f
^.
DATE FILLED: ~-,~( `~ G % BY: ~e~,~~,.~ i C:c-~->-
Department of Community Services ~~ 4,~~ `
One Civic Square; Carmel, IN 46032 ; ., -'~~'
Planning & Zoning Office: Ph. (317) 571-2417 Fax (317) 571-2426
Building & Code Services: Ph. (317) 571-2444 Fax (317) 571-2499
S:FORMS -APPLICATIONS/Informatlon Request Form 10-1-OS (/ !page 1 of 2
(NAME OPTIONAL --please print)
Carmel, Indiana, the right to inspect and/or copy the following records:
(Please be specific as to what records you are looking (or/requesting, and list the correct property infonnation)
City of Carmel /Clay Township
Department of Community Services
One Civic Square; Carmel, IN 46032
Planning & Zoning Office: Ph. (317) 571-2417 Fax (317) 571-2426
Building & Code Services: Ph. (317) 571-2444 Fax (317) 571-2499
REQUEST FOR RECORDS PURSUANT TO INDIANA ACCESS TO PUBLIC
RECORDS ACT - (I. C. 5-14-3-1, et seq., As Amended).
I, ~ `'~'~-~L~ ~------~~~~ ,hereby request of the City of
(NAME OPTIONAL --please print)
Carmel, Indiana, the right to inspect and/or copy the following records:
(Please be specific as to what records you are looking for/requesting, and list the correct property information)
~~~
D ti~D ~ _~ 3 ..~
Date of Request:
Signature: ~~`~
(OPTIONAL)
THE CITY MAY PROVIDE ME WITH ITS RESPONSE:
^ By telephone at: ~~f ~ - ~O Lf 1
^ By facsimile transmission at:
^ By mail at:
f]" Other:
OFFICE USE:
._--- /
Received by: ~~~ ~~~ / L ~ ~ /Z ! `~ ~ ~ Dept: ~ f C° S
(Print)
Signatur z
~,
Sent to Legal Department by: y
*** SEE REVERSE IF SENT TO LEGAL DEPT.
On:
FILLED WITHOUT NOTIFICATION TO LEGAL DEPT/ N ~ ~~
DATE FILLED: ~~ -~ y- O ~'/ BY: ~--~`/~
Date: ~ ~~ 7'U ~ Tlme: /~ ~~~-~~r~-L
S:FORMS -APPLICATIONS/Information Request Form 10-1-OS Page 1 of 2
,~ilw~y °` °~yF _ City of Carmel /Clay Township
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^~~ =}2~ Department of Community Services
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g9~~°~~'~%~~~~~1`11~ Oi d 9 & Code Services' Ph. (317) 57~1vZ4~~Fa~(317) 571-2499
REQUEST FOR RECORDS PURSUANT TO INDIANA ACCESS TO PUBLIC
RECORDS ACT - (I. C. 5-14-3-1, et seq., As Amended).
I, k~-t~-~-~-c~ ~ ~clJt~. ,hereby request of the City of
(NAME OPTIONAL --please print)
Carmel, Indiana, the right to inspect and/or copy the following records:
(Please be specific as to what records you are looking for/requesting, and list the correct property information)
~~// S E
cJ $0~QU21!
Date of Request: ~ - / ~' ~ q Signature: /` e. ~ ~
(OPTIONAL)
THE CITY MAY PROVIDE ME WITH ITS RESPONSE:
^ By telephone at:
^ By facsimile transmission at:
^ By mail at:
G3~ Other: ~ ~--~-y~- __
OFFICE USE:
//? -'J /
Received by: ~F~ h v~ i~ ~: H~/E~J Dept: ~~~ S
(Print) ~~
Signature: ~ ---rc.~e.~~~r-o~~-ti Date: ~~-/`~-G~c Time: // •~~ ~ ate-,-~
Sent to Legal Department by:
*** SEE REVERSE IF SENT TO LEGAL DEPT.
FILLED WITHOUT NOTIFICATION TO LEGAL DEPT~~ N
DATE FILLED: c~ /> /J j BY:
On:
S:FORMS-APPLICATIONS/Information Request Form 10-1-OS
Page 1 of 2
FRDM
REQUEST FOR RECORDS PURSUANT TO INDIANA ACCESS TO P'U'BLIC
RECORDS ACT - (I.C. 5-143-1, et seq., As Amended).
City of Carmel /Clay Township
Depainment o~ Comlxnunity Services
One Civic Square; Carmel, IN 46032
Planning & Zoning Office: ph. (317) 571-2417 Fax (317) 571-2426
Building & Code Enforcement: Ph. (317) 571-2444 Fax (317) 571-2499
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I, DFE FOX ,hereby request of the City of
(NAME OP770NAL -please pAm)
Carmel, Indiana, the right to inspect and/or copy the following records:
(Please be specific as to what records you are bolting for/requesting, and list the coned Property Inforrnatien)
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Date of Request: - Signature: '79to,,,.G„ _
(ovrronuq
THE CITY MAY PROVIDE ME WITH TTS RESPONSE:
~ By telephone at: Kl1e - nS1e5'
^ By facsimile transmission at:
^ $y mail at:
^ Other:
OFFICE USFt: _~
Received by: ~ ~A 1'1 6~1 % C'_ ~ % 6'i ~> ~-c' i/ Dept: ~1 fJ (' J
/,(Print)
Signature: `~`-~-
Sent to Legal Deparanent by:
FFlX ND. :765-448-6962 Jan. 29 2009 04:52PM P1
Date: ~ ~-G ~' Time: ~~~~~~,
On:
"""' SEE REVISE IFSENT TO LEGAL DEPT:
FILLED WTfHOUT NOTIFICATION TO LEGAL DEPr~/_ N /,
/7
DATE FILLED: / `i/~ ~~ ~ BY: (^~.;~' 1~ ~ r.~z,-C.~ ~
S:Forms /Request far Infortnalion FJrm j ~~ of 2.
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City of Carmel /Clay Township
Department of Community Services
One Civic Stioare; Carmel, IN 46032
Planning & Zonirg Office: ph. (317) 571-2417 Fax (317) 571-2426
Building & Cade Enforoernent Ph. (317) 571-2444 Fax (317) 571-2499
REQUEST FOR RECORDS PURSUANT TO INDIANA ACCESS TO PUBLIC
RECORDS ACT - (I.C. 5-143-1, et seq., As Amended). .
I, ~~ e ~,,,, ,hereby request of the Crty of
(NAME OPTIONAL -P~ Pdrn)
Carmel, Indiana, the right to inspect and/or wpy tine following records:
(please be spedNc as bo what records You are looldrg for/requestln9, and Ilst the correct Property infa~af!°")
Date of Request: 9 -3 -o iT Signature: (~~)
THE CITY MAY PBOVIDE ME WITH l(TS RESPONSE:
C~ BY telephone at: 8/ l o ~o ~
^ BY facsimile transmission at:
^ BY mail at:
Other:
OFFICE USE:
Received by: ','~ ~ Dept: ±J u ~
(Prins)
g~~: ~ Date: ~ ~- O ~ Time: % ~ : ~ ~ °-,^-~
Sent to Legal Department by: On:
Received in Legal Department by:
On:
FII.I.ED WITHOUT NOTIFTCAIION TO LEGAL ""'tL-N DATE FILJFD: '~ rS Statf Trdt~~"