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MARCHAM HALL
836 HANSHAW ROAD
ITHACA, NEW YORK 14850
(607)257-1238
fax (607) 257-4910
Name of Requestor:
Email Address:
Daytime Phone:
Mailing Address:
REQUEST FORM
FREEDOM OF INFORMATION ACT
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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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Requestor's signature
Mail this form to the address above or email to clerk@,cayuga-heights.ny.us