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MARCHAM HALL
836 HANSHAWROAD
ITHACA, NEWYORK 1,t850
(6A7)257-1238
fax (607) 257-4WA
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REQUEST FORM
FREEDOM OF I]I{FORMATION ACT
Name of Requestor:
Email Address:
Daltime Phone:
Mailing Address:
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Dear FOIA Officer:
This is a request for information filed under the Freedom of Information Act.
I wish to inspect the following records:
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Mail this form to the address above or emairl to clerk@cgyuga-heights.n],.us