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2. Name of Requesting Party
4. Email Address
6. The documents and records requested are described as follows:
   (Description must reasonably identify public records)
8. For copying request, please indicate a preference:

   1. Requesting party will pick up the copies at Town Hall
   2. Please mail the copies to the address specified below. Please contact me when the copies are ready for mailing and advise me of the costs. (Requesting Party must pay copying and postage costs before the copies will be mailed.)
   3. Email Me the Documents
10. Mailing Address:
12. Phone Number:
Leave This Blank:


13. Submit

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