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Psyh 240

by: Sabrina Ivanenco

Psyh 240 240

Sabrina Ivanenco

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Cognitive Psychology
Dr. Polk
Class Notes
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This 4 page Class Notes was uploaded by Sabrina Ivanenco on Sunday August 14, 2016. The Class Notes belongs to 240 at University of Michigan taught by Dr. Polk in Fall 2016. Since its upload, it has received 4 views. For similar materials see Cognitive Psychology in Psychology at University of Michigan.


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Date Created: 08/14/16
APPENDIX A . [ FOIA Request for MCHD ]   FREEDOM OF INFORMATION ACT REQUEST FOR MARION COUNTY HEALTH DEPARTMENT RECORDS Date Requested: _______________________________ Name of Requester: ___________________________________________________________ Street Address: ______________________________________________________________ City: ____________________  State: _____  Zip:___________   County:_________________ Phone 1: _____________________________   Phone 2:______________________________ Fax: ___________________________E­mail: ______________________________________ Records Requested: (Provide as much specific detail as possible so the public body can  identify the information that you are seeking. You may attach additional pages if necessary.) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Is this request for a Commercial Purpose?     YES          NO (It is a violation of the Freedom of Information Act for a person to knowingly obtain a public record for a  commercial purpose without disclosing that it is for a commercial purpose, if requested to do so by the public  body. 5 ILCS 140.3.1(c)). “Commercial purpose” is defined 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. For requests  118 CROSS CREEK BLVD.  |  SALEM, IL  62881  |  618­548­3878  |  FAX 618­548­3866 1013 N. POPLAR  |  CENTRALIA, IL  62801  |  618­532­6518  |  FAX 618­532­6543 APPENDIX A . [ FOIA Request for MCHD ]   made by news media and non­profit, scientific, or academic organizations shall not be considered to be made for  a “commercial purpose” when the principal purpose of the request is (i) to access and disseminate information  concerning news and current or passing events, (ii) for articles of opinion or features of interest to the public, or  (iii) for the purpose of academic, scientific, or public research or education. 5 ILCS 140/2(c­10) For Commercial Requests, please explain the reason for the request: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ____  I agree to pay the appropriate fees* for the public records copied at my request prior to  copying or mailing of the requested records.  ____ I request a waiver+ of the fees set forth by the Marion County Health Department.  Please provide reason(s) for request for waiver of fees in the space below. Attach  additional pages if necessary. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ +(If you are requesting that the public body waive any fees for copying documents, you must attach a statement  of the purpose of the request, and whether the principal purpose of the request is to access or disseminate  information regarding the health, safety and welfare or legal rights of the general public. 5 ILCS 140/6(c)).  *FEES Paper Copies st Letter (8.5 x 11) Black & White 1  50 pages Free Each page over 50 pages $0.15 each Color $0.22 each st Legal (8.5 x 14) Black & White 1  50 pages Free Each page over 50 pages $0.15 each Color $0.28 each Electronic Media 118 CROSS CREEK BLVD.  |  SALEM, IL  62881  |  618­548­3878  |  FAX 618­548­3866 1013 N. POPLAR  |  CENTRALIA, IL  62801  |  618­532­6518  |  FAX 618­532­6543 APPENDIX A . [ FOIA Request for MCHD ]   CD $0.50 DVD $0.60 Mailing Cost of Postage ____ I request that the Health Department mail copies of the requested public records to me  at the address listed above on page one or at a different address listed below. I hereby  agree to pay the actual postage for mailing before the records will be mailed. ________________________________________ ________________________________________ ________________________________________ ________________________________________ ____ I do not request mail delivery of any of the requested records. By signing this Request, I acknowledge that I understand the rules and regulations set forth in  the Illinois Freedom of Information Act and all information provided in support of this request is  true and accurate. _________________________________________________ Signature of Requestor _________________________________________________ Date 118 CROSS CREEK BLVD.  |  SALEM, IL  62881  |  618­548­3878  |  FAX 618­548­3866 1013 N. POPLAR  |  CENTRALIA, IL  62801  |  618­532­6518  |  FAX 618­532­6543 APPENDIX A . [ FOIA Request for MCHD ]   Submit Written Request to: Freedom of Information Officer Marion County Health Department 118 Cross Creek Boulevard Salem, IL  62881 Or fax to: 618­548­3866    Attention: Freedom of Information Act Officer 118 CROSS CREEK BLVD.  |  SALEM, IL  62881  |  618­548­3878  |  FAX 618­548­3866 1013 N. POPLAR  |  CENTRALIA, IL  62801  |  618­532­6518  |  FAX 618­532­6543


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