Request for Public Records
Official Form
To: Freedom of Information Officer From: ____________________________
(Name
of Individual)
Bourbonnais Township Park District
____________________________
459 No. Kennedy Drive (Address)
Bourbonnais, Illinois 60914 ____________________________
(City,
State, Zip)
____________________________
(Telephone)
Dated: __________________________
____________________________
(Name of Org. or Agency, or on behalf of)
Description of Requested Record(s):
Please indicate if you wish to inspect the above identified records or wish a
copy of them:
_______
Inspection ______
Copy _______
Both
If for Inspection, name party(ies) who will be present: _____________________________________
Do you wish to have copies certified?
______ Yes _______ No
For Office Use Only:
_________________________ __________________________________
(Date Received) (Received
By)
_________________________ _______________________________
(Date Provided to Legal Counsel For Review) (Sent
By)
_________________________ _______________________________
(Date Response Transacted) (Completed
By)
_________________________ _______________________________
(Date Response Completed) (Completed
By)
Notes Regarding Verbal Communications or Other Items: