Appendix 25-A.  


APPLICATION FOR INFORMATION FROM CDTA AND ITS SUBSIDIARIES
PURSUANT TO SECTION 88 OF THE PUBLIC OFFICERS LAW
Request for Public Information
DATE:
Name:
Address:
Telephone Number:
Ogranization (if any):
Name of News Medium (if applicable):
Address of News Medium (if applicable):
Description of record to which access is requested or copy made available:
# of pages x $.
 
$
 
____
# of pages x $.
 
$
 
____
 
Total charge
 
$ ____