J. Robert Jamerson Memorial Library

Freedom of Information and Records

10.8 Virginia Freedom of Information Act Appeal

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Patron____________________________________________ Date________________

Address____________________________________________

Phone Number________________________________________

Description of Requested Record(s)

____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

Noted below is the action I have taken on your appeal from the denial of your request for the above captioned records:

________ I hereby approve your appeal for the following extent and for the following reasons:

____________________________________________________________________
____________________________________________________________________

________ I affirm the denial of your request made by the Freedom of Information Officer.

You are entitled to a judicial review of any denial.

Signed________________________________________________________ Date________________ Chairperson of Library Board of Trustees

J. Robert Jamerson Memorial Library
157 Main Street, P.O. Box 789
Appomattox, Virginia 24522
Telephone: (434) 352-5340
Fax: (434) 352-0933

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