Request For Public Records Form - Township Of Florence Page 3

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TOWNSHIP OF FLORENCE
PUBLIC RECORDS REQUEST RESPONSE
TO
:
_______________________________________________________________________________
DATE:
_______________________________________________________________________________
The document or documents listed below and requested by you are not being provided
because the document or documents are not public records as provided by law, for the
following reason:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
You have a right to appeal the decision that the document or documents are not public
records. You may take you appeal to the Government Records Council or to the New Jersey
Superior Court, as provided by N.J.S.A. 47:1A-1 et seq.. If your request has been denied, a
statement of the procedures for the appeal will be attached to this notification.
___________________________________
___________________________________________
Date
Municipal Clerk
ACKNOWLEDGMENT
I hereby acknowledge that I have received the documents requested except for any
documents specifically listed above on which a determination has been made that the
documents will not be provided. If any documents have not been provided, I have received
information on the procedures for any appeal of the determination.
___________________________________
___________________________________________
Date
Applicant

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