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Merrionette Park Fire Department/Village Hall - Freedom of Information Act (FOIA) Form

  1. Village of Merrionette Park 

    11720 S Kedzie Ave. Merrionette Park, IL 60803 

    Phone: (708)396-3183  Fax: (708) 396-3890 

     Email Merrionette Park Village Hall

  2. Individual requesting information

  3. PO Box not accepted

  4. This is a request for information under the Illinois Freedom of Information Act, 5 ILCS 140/1, et seq. I request the  following document or documents containing the following information

  5. Please Provide:*

    (Choose one)

  6. Respond Via:*

    (Choose one)

  7. Purpose of your request:*

    *A “commercial purpose” is defined under the Act as the use of any part of a public record or records, or information derived from public records, in any form for sale, resale, or solicitation or advertisement for sales or services. Please be advised that misrepresentation of the purpose of a Request is a violation of the Act. 

  8. If more than this limit, inform me first 

  9. Black ink legal size copies – first 50 pages free & $0.25 per page thereafter. Actual cost applies to large formant prints and/or PDF scans. Additional charges apply for electronic media (eq. CD, DVD, Flash Drive) If not provided by requester. PD Incident reports and FD Fire reports – free of charge

  10. Typing your name constitutes your signature

  11. *All areas must be completed in order for request to be fulfilled*
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