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Request for Public Records
 
Date of Request: 5/25/2013
   
Person Requesting:
   
Representing:
   
Mailing Address:
   
City:
   
State:
   
ZIP:
   
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.
     
     
 
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3825 Ridgewood Road
Jackson, MS 39211