Mississippi Public Universities
Request for Public Records
Date of Request: 2/6/2016
Person Requesting:
Mailing Address:
Primary Telephone:
Secondary Telephone:
Primary Email:
Secondary Email:
Material Requested (Please be as clear and concise as possible.):
Review Requested:  Personally Inspect
   Copy of Material
Material Provided Via:  Electronic Mail
   Postal Service Mail
Additional Instructions:
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Note: Actual costs of gathering and reproducing requested materials will be the responsibility of the requesting agent.