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Request for Public Records

Submit to: City Clerk, City of Renton, 1055 S. Grady Way, Renton, WA 98057 Ph: 4254306510 Fax: 4254306516 Email: bwalton@rentonwa.gov Name of Requestor Kelli Levi Representing Myself________________

Complete Address 4734 17th Avenue Northeast,_Seattle, WA 98105_____________________________ Phone (Home) ____________________ (Business) _____________________ (Cell) 206-350-2403_ Email Address _kellilevi@hushmail.com_________ Fax Number __________________________________ PUBLIC RECORDS/INFORMATION BEING REQUESTED:
(Please be specificif known, give name, dates or date parameters, location, title, file number, department, etc.)

1. All IA complaint log forms for all years emailed to me at kellilevi@hushmail.com_____________________ 2.List of names of police department employees and their badge numbers or roster of names that exist _showing all currently employed law enforcement officers emailed to me at kellilevi@hushmail.com_______ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________http://rentoncopwatch.wordpress.com See attached sheet with additional requests I would like to: inspect the records at no charge (I may request copies after inspection). receive copies of the records after paying the required copying charges.
I understand that: As allowed by state law, records may be provided in installments, a copy fee may apply, and a deposit may be required. Public documents and records are available to the public as required under the Washington State Public Records Act (RCW 42.56). The information contained in all correspondence with a government entity may be disclosable to third party requesters under the Public Records Act. Washington State law, RCW 42.56.070(9), prohibits the use of lists of individuals for commercial purposes. Commercial purposes means that the person requesting the record intends that the list will be used to communicate with the individuals named in the record for the purpose of facilitating profitexpecting activity. By signing below, I certify that the lists of individuals obtained through this request for public records will not be used for commercial purposes, nor for promotion of an elected official or to promote or oppose a ballot proposition.

Signature of Requestor _______________________________Date ____January 26, 2013________________


(WAC 30810040)

Print Form
CLK-SF-001 Public Records 06/01/201