Office of the Village Clerk
6450 Wiehe Road • Golf Manor, OH 45237 • 513-531-5155 513-531-4404 FAX www.golfmanoroh.gov
Request for Public Records
Under the Ohio Open Records Law, §149.43, I am requesting an opportunity to inspect and/or obtain copies of public records as
described below:
Name of Records Access Officer:
Village Fiscal Officer / Village Administrator
Agency:
Village of Golf Manor
Address:
6450 Wiehe Road Golf Manor OH 45237
Street City State Zip
REQUESTOR INFORMATION
(Optional)
NAME:
ADDRESS:
Street City State Zip
CONTACT:
PHONE:
EMAIL:
INFORMATION REQUESTED
Describe in detail the information you are requesting. Be as specific as possible:
Signature: __________________________________________________ Date: _______________________
Stamped Received:
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