| Return to: |
| Community Economic Revitalization Board c/o Public Records Officer P.O. Box 48300 Olympia, WA 98504-8300 |
request for public records |
Date . . . . | Time . . . . | (In person requests only) |
Name . . . . |
Address . . . . |
. . . . |
Description of Records |
. . . . |
. . . . |
. . . . |
I certify that the information obtained through this request for public records will not be used for profit making. |
| . . . . |
| Signature |
(for board use only) |
Number of copies | . . . . | |
Number of pages | . . . . | |
Per page charge for in excess of ten pages | $ .15 | |
Total charge | $ . . . . | |
[Statutory Authority: Chapter
43.160 RCW. WSR 95-24-086, § 133-20-120, filed 12/5/95, effective 1/5/96. Statutory Authority: RCW
43.116.050(8) [43.160.050(8)]. WSR 83-10-041 (Order 83-1), § 133-20-120, filed 5/2/83.]