J. Robert Jamerson Memorial Library

Freedom of Information and Records

10.7 Deferral of Response to Request for Public Records

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Patron____________________________________________ Date________________

Address____________________________________________

Phone Number________________________________________

Description of Requested Record(s)

____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

Your response to your requst dated ________________ for the above captioned records must be delayed. The delay in responding to your request is for the following reason(s):

____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

You will be notified by ________________________________ as to the action taken on your request.

Signed________________________________________________________ Date________________ Freedom of Information Officer

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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