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3570(Y) Request for District Records and Reports, Form

NORTHFIELD BOARD OF EDUCATION FILE CODE: 3570 Northfield, New Jersey

Form

Northfield Board of Education 2000 New Road Northfield, NJ 08255

TO: Northfield Board of Education Attention: Board Secretary

FROM: Name:

Address:

Pursuant to the New Jersey Open Public Meetings Act (N.J.S.A. 10:4-4 et. seq.), the Right to Know Law

(N.J.S.A. 47:1A et. seq.) and Northfield Board of Education Policy, I hereby request the minutes of the following items:

I agree to pay all costs associated with the reproduction and, if necessary, the mailing of these items to me pursuant to the above board policies.

Signature: Printed Name: Date of Request:

Do not write in this section
Date Request Received: Date Material Supplied: Costs: Costs paid: The above requested material has been retrieved and supplied to the Requestor by the undersigned:
Adopted: 8/21/00 Readopted:
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