Wash. Admin. Code § 474-01-990
OFFICE OF STATE TREASURER
REQUEST FOR PUBLIC RECORDS
Date . . . . . . . . . . .. | ||||||||
Time . . . . . . . . . . .. | ||||||||
REQUESTED BY: | ||||||||
Name . . . . . . . . . . .. | Title . . . . . . . . . . .. | |||||||
Address . . . . . . . . . . .. | ||||||||
Telephone No. . . . . . . . . . . .. | Representing . . . . . . . . . . .. | |||||||
NATURE OF REQUEST: | ||||||||
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. . . . . . . . . . .. | ||||||||
. . . . . . . . . . .. | ||||||||
DETAILED DESCRIPTION OF DOCUMENT: | ||||||||
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. . . . . . . . . . . . . . . . . . . . .. (Signature) | ||||||||
-- | FOR OFFICE USE ONLY | -- | ||||||
(1) | Request Granted [] | Record Withheld [] | Record Withheld in Part [] | |||||
(2) | If withheld, name the exemption contained in section 31, chapter 1, Laws of 1973, which authorizes the withholding of the record or part of the record: Subsection (1)(). | |||||||
(3) | If withheld, briefly explain how the exemption applies to the record withheld. | |||||||
(4) | If request granted, time . . . . . . . ., date . . . . . . . . . . .. | |||||||
Reviewed: . . . . . . . . . . . . Public Records Officer (Initial) | ||||||||
. . . . . . . . . . .. (Initial) | Deputy or Assistant State Treasurer | |||||||
Wash. Admin. Code § 474-01-990
Order 2, Form (codified as WAC 474-01-990), filed 7/30/74.