Phone Number
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Est. Document Cost
Est. Delivery Cost
Est. Extras Cost
Total Est. Cost
Deposit Amount
Estimated Balance
Deposit Date
Tracking #
Recd Date
Ready Date
Total Pages
Total Cost
Deposit
Balance Due
Balance Paid
In Progress - Open
Denied - Closed
Filed - Closed
Partial - Closed
Custodian Signature Date
AGENCY USE ONLY
CITY OF VINELAND
640 EAST WOOD ST
VINELAND, NJ 08360
CITYCLERKOFFICE@VINELANDCITY.ORG
Record Request Information:
Please be as specific as possible in describing the records being requested. Also, please note that
your preferred method of delivery will only be accommodated if the custodian has the
technological means and the integrity of the records will not be jeopardized by such method of
delivery.
IMPO
IMPORTANT: PLEASE BE SURE TO INCLUDE A DATE RANGE FOR RECORDS IN YOUR REQUEST.
FAILURE TO PROVIDE A SPECIFIC DATE RANGE WILL REQUIRE THE RETURN OF YOUR
REQUEST AS INCOMPLETE.
Disposition Notes
Custodian: If any part of request cannot be
delivered in seven business days, detail
reasons here.
click to sign
signature
click to edit
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CITY OF VINELAND
640 EAST WOOD ST
VINELAND, NJ 08360
ADDRESS@VINELANDCITY.ORG
DEPOSITS
The custodian may require a deposit against costs for reproducing documents sought through an
anonymous request whenever the custodian anticipates that the documents requested will cost in
excess of $5 to reproduce.
WheWhere a special service charge is warranted under OPRA, that amount will be communicated to
you as required under the statute. You have the opportunity to review and object to the charge
prior to it being incurred. If, however, you approve of the fact and amount of the special service
charge, you may be required to pay a deposit or pay in full prior to reproduction of the documents.
YOUR REQUEST FOR RECORDS IS DENIED FOR THE FOLLOWING REASON(S):
(To be completed by the Custodian of Records check the box of the numbered exemption(s) as
they apply to the records requested. If multiple records are requested, be specific as to which
exemption(s) apply to each record. Response is due to requestor as soon as possible, but no
later than seven business days.)
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CITY OF VINELAND
640 EAST WOOD ST
VINELAND, NJ 08360
ADDRESS@VINELANDCITY.ORG
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CITY OF VINELAND
640 EAST WOOD ST
VINELAND, NJ 08360
ADDRESS@VINELANDCITY.ORG