Freedom Of Information (FOIA) Request

Date Received: _____________________________

TO: ___________________________________

RE: FREEDOM OF INFORMATION ACT REQUEST

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Under the Freedom of Information Act you are hereby requested to provide the Following:

___________________________________________________________________________

___________________________________________________________________________

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I understand that the public body shall respond within 5 business days after receipt of the request in accordance with FOIA, Public Act 442 of 1976, Sec 15.235.

Name: _______________________________________________

Address: _____________________________________________

Telephone NO: ________________________________________