Public Records Request Form - Pierce Township
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1SERVICE DEPARTMENT
BOARD OF TRUSTEES
DIRECTOR
Bonnie J. Batchler
John Koehler
Robert W. Pautke
Allen M. Freeman
950 Locust Corner Road
Cincinnati, Ohio 45245
Fiscal Officer
Debbie Schwey
(513) 947.2021
Fax # (513) 752.8418
FORM “J”
PUBLIC RECORDS REQUEST FORM
Date of Request:
Attachments:
_Yes
No
Requestor:
Phone #
Last Name
First Name
Email:
Address:
Number
Street
City
State
Zip Code
Received:
in person
phone
fax
email
_Other
Documents requested:
Please check request type:
_inspection
_copies
_both
FOR INTERNAL USE:
Received by:
Name
Department
Administrator Review:
Yes
No
Legal Review: Yes
No
Records or Data Redacted?
Yes
No
If yes, provide general reason and/or applicable ORC code section:
Please check the appropriate box:
1.
Documents inspected by and/or copies were provided to requestor on
Date
2.
Copies mailed to requestor on
Date
3.
Other:
/_
Date
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