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VUBLIC RECORD RELEASE REQUE+ <br /> 1 . REQUEST RELEASE DATE vy A-q 21 199,E <br /> 2 REQUESTING AGENCYL;EM L"_/ov�fiqF7I K_�c-, PHONE NO 4243_ <br /> 3. AGENCY ADDRESS 3C3 S�>, S�r _ _<,tA rre� $goo <br /> 4. INDIVIDUAL REQUESTING („S . P,)kKw,.)o PHONE NO. <br /> 5. INDIVIDUAL ADDRESS <br /> FILE ADDRESS ITEM REQUESTED DATE PURPOSE OF REQUEST <br /> LlNZ_oL_ 1 luLkoc \ <br /> V.V.,5i L.n-- � Daus l taus 98� ro�a� �2� �Yt��s l�ua'�.r� >JI <br /> o � L A` - II G��CVJ � L� m �•Vel_ l mb*,) <br /> -ASTERISK ITEMS REQUESTED POR PHOTOCOPYING _ <br /> ;IGNATURE OF REQUESTING PARTY �S 9 l� DATE 5/z <br /> .00AL HEALTH DISTRICT USE ONLY <br /> 'ROJECTEO RELEASE DATE 5�-2 — <br /> ;IGNATURE OF RELEASING OFFICIAL A ' DATE <br /> LAMES OF TAFF MEMBERS INVOL 0 THE RELEASE AND MONITORING OF THE RECORDS. <br /> CCli✓ ' <br /> H 00 14 4/81 <br />