TO:

FROM:

FOIA Officer

Name

Auditor General's Office

Address

Address

Phone Number

DESCRIPTION OF REQUESTED RECORD(S):

Please indicate if you wish to inspect the above-captioned records or wish to copy them:

Inspection

Copy

Both

Do you wish to have copies certified?

FOR OFFICE USE ONLY:

Date Received

Date Response Due

Notations re Oral Communications or Other Items: