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<title>TOWNSHIP OF BOONTON</title>
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<b><span style="font-size: 13.0pt; font-family: Arial; letter-spacing: 1.0pt">
TOWNSHIP OF BOONTON</span></b></p>
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<span style="font-size: 12.0pt; font-family: Arial; letter-spacing: 1.0pt">&nbsp;155 
POWERVILLE ROAD </span></p>
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<span style="font-size: 12.0pt; font-family: Arial; letter-spacing: 1.0pt">
BOONTON TOWNSHIP</span><span style="font-size: 12.0pt; font-family: Arial; letter-spacing: 1.0pt">, 
NJ 07005 </span></p>
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<span style="font-size: 12.0pt; font-family: Arial; letter-spacing: 1.0pt">
973-402-4002 FAX 973-402-4013</span></p>
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<span style="font-size: 12.0pt; font-family: Arial; letter-spacing: 1.0pt">&nbsp;</span></p>
<p class="MsoNormal" align="center" style="text-align: center"><b>
<span style="font-size: 12.0pt; font-family: Arial; letter-spacing: 1.0pt">
REQUEST FOR ACCESS TO GOVERNMENT RECORDS</span></b></p>
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--------------------------------------------------------------------------------------------------------------------------------------------</p>
<p class="MsoNormal" align="center" style="text-align: center">FOR MUNICIPAL USE 
ONLY</p>
<p class="MsoNormal" align="center" style="text-align: center">&nbsp;</p>
<p class="MsoNormal"><span style="font-size: 12.0pt">Date Received: 
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Date of Response:</span></p>
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--------------------------------------------------------------------------------------------------------------------------------------------</p>
<p class="MsoNormal" align="center" style="text-align: center"><b>SEE 
INSTRUCTIONS ON PAGE 2</b></p>
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<span style="font-size: 12.0pt">&nbsp;</span></b></p>
<p class="MsoNormal"><span style="font-size: 12.0pt">Name</span>:­_____________________________________________________________________</p>
<p class="MsoNormal"><span style="font-size: 12.0pt">&nbsp;</span></p>
<p class="MsoNormal"><span style="font-size: 12.0pt">Address</span>: 
­__________________________________________________________________</p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
___________________________________________________________________</p>
<p class="MsoNormal"><span style="font-size: 12.0pt">&nbsp;</span></p>
<p class="MsoNormal"><span style="font-size: 12.0pt">Telephone [Day</span>]______________________________</p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal">&nbsp;Information Requested:</p>
<p class="MsoNormal">&nbsp;</p>
<div style="mso-element: para-border-div; border-left: medium none; border-right: medium none; border-top: medium none; border-bottom: 1.5pt solid windowtext; padding: 0in">
	<p class="MsoNormal" style="border: medium none; padding: 0in">[&nbsp;&nbsp;&nbsp; ] <b>
	Copy of Minutes</b> [specify board or entity, date, topic or other 
	identifying information] ___________________</p>
	<p class="MsoNormal" style="border: medium none; padding: 0in">
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </div>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal">[&nbsp;&nbsp;&nbsp; ] <b>Copy of Ordinance or Resolution</b> [specify 
date, number, or other identifying information]</p>
<p class="MsoNormal">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
_____________________________________________________________________________________</p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
_____________________________________________________________________________________</p>
<p class="MsoNormal">[&nbsp;&nbsp;&nbsp; ] <b>Police Accident Report</b>&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Fee: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </p>
<p class="MsoNormal" style="text-indent: .5in">Identify 
Accident:______________________________________________________________________</p>
<p class="MsoNormal" style="text-indent: .5in">&nbsp;</p>
<p class="MsoNormal">[&nbsp;&nbsp;&nbsp; <b>] Other</b> [Specify] 
_____________________________________________________________________________________________</p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal">
_____________________________________________________________________________________________</p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal">[&nbsp;&nbsp;&nbsp; ] <b>License Information</b> 
[Specify]________________________________________________________________</p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal">
_____________________________________________________________________________________________</p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal"><b>Information on a Specific Property&nbsp; Address:</b>________________________________________________</p>
<p class="MsoNormal" style="text-indent: .5in; margin-left: 2.0in"><b>&nbsp;</b></p>
<p class="MsoNormal" style="text-indent: .5in; margin-left: 2.0in"><b>BLOCK:&nbsp; 
______&nbsp;&nbsp;&nbsp;&nbsp; LOT:______</b></p>
<p class="MsoNormal">[&nbsp;&nbsp; ] <b>Municipal Lien Search</b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Fee: 
$10.00</b></p>
<p class="MsoNormal" style="margin-left: .5in">Municipal Lien searches are 
provided by the designated search officer and will be provided within 15 days 
after the Request is received and the fee paid, as provided in N.J.S.A. 54:5-11, 
et seq.</p>
<p class="MsoNormal">[&nbsp;&nbsp; ] <b>List of Property Owners within 200'</b></p>
<p class="MsoNormal">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Fee:</b> As provided in N.J.S.A. 40:5513-12, the 
fee is greater of $.25 per name or <b>$10.00</b></p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal" align="center" style="text-align: center">Page 1</p>
<p class="MsoNormal">A request for access to or for a copy of Government records 
should be submitted on this form which has been adopted by the Municipal Clerk 
as the Custodian of records. Some records will be immediately available during 
normal business hours. Some records will require time to compile and to make the 
copies requested, but will normally be available during normal business hours 
and within (7) business days. If any document or copy which has been requested 
is not a public record or cannot be provided within (7) business days, you will 
be provided with a response with that information within the (7) business days. 
Some records requested have specific fees or other response times established by 
statute. There is no fee involved in simply inspecting a document during normal 
business hours. This request may be filed electronically. In general: </p>
<ul style="margin-top: 0in; margin-bottom: 0in" type="disc">
	<li class="MsoNormal">Immediate access is ordinarily available for to 
	budgets, bills, vouchers, contracts, including collective negotiations 
	agreements and individual employment contracts, and public employee salary 
	and overtime information. Minutes of public meetings will be generally 
	available immediately after the minutes have been approved.</li>
</ul>
<p class="MsoNormal" style="margin-left: .25in; margin-right: .1in; margin-top: 0in; margin-bottom: .05in">
&nbsp;</p>
<ul style="margin-top: 0in; margin-bottom: 0in" type="disc">
	<li class="MsoNormal" style="margin-right: .1in; margin-bottom: .05in">
	Records which are not readily available or which will require a search of 
	records will be made available as soon as possible and the applicant will be 
	provided with an interim report within seven (7) business days indicating 
	the time which will be required to provide the records.</li>
	<li class="MsoNormal" style="margin-bottom: .1in">Except as otherwise 
	provided by law or regulation, the fees assessed for the duplication of a 
	printed record shall be: first page to tenth page, $0.75 per page; eleventh 
	page to twentieth page, $0.50 per page; all pages over twenty, $0.25 per 
	page; for a police accident report there is an additional fee when request 
	is not made in person of $5.00 for the first 3 pages and $1.00 for each 
	additional page, as provided by <i><span style="letter-spacing: .4pt">NJS.A.
	</span></i>39:4­131.</li>
	<li class="MsoNormal" style="margin-right: .3in; margin-bottom: .05in">Where 
	a request is for a copy in a format other than a photocopy, reasonable 
	efforts will be made to provide the information in the format requested. The 
	cost will be based on the costs of producing the format requested.</li>
	<li class="MsoNormal" style="margin-right: .1in; margin-bottom: .05in">Where 
	a legal determination must be made as to whether records are &quot;public 
	records&quot; as provided by law, the request will be reviewed by the Municipal 
	Attorney.</li>
</ul>
<p class="MsoNormal" style="margin-bottom: .2in">The term &quot;public records&quot; 
generally includes those records determined to be public in accordance with <i>
<span style="letter-spacing: .4pt">NJIS.A. </span></i>47:1A-1. The term does not 
include employee personnel files, police investigation records, public 
assistance files or other matters in which there is a right of privacy or 
confidentiality or inter­agency or intra-agency advisory, consultative, or 
deliberate material or other material which is specifically exempted by law.</p>
<p class="MsoNormal" style="margin-bottom: .05in">The applicant hereby 
acknowledges receipt of a copy of this form with the date on which the 
information is expected to be available and the estimated cost. The applicant 
hereby certifies that he or she has not been convicted of any indictable offense 
under the laws of this State, any other state or the United States and is not 
seeking government records containing personal information pertaining the victim 
or the victim's family as provided by
<a style="font-family: Times New Roman; color: blue; letter-spacing: 0pt; text-decoration: none underline; text-underline: single; text-line-through: none" href="http://N.J.S.A.47JA-1">
N.J.S.A. 47JA-1</a> et seq..</p>
<p class="MsoNormal" style="margin-bottom: .05in">This form, when signed by the 
municipal official shall constitute a receipt for any deposit received.</p>
<p class="MsoNormal" style="margin-bottom: .05in">&nbsp;</p>
<p class="MsoNormal" style="margin-bottom: .05in">The information requested will 
be ready on_________________________________________.</p>
<p class="MsoNormal" style="margin-bottom: .05in">Estimated Number of 
Pages&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; _________________________________________.</p>
<p class="MsoNormal" style="margin-bottom: .1in">Estimated 
Cost&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
_________________________________________.</p>
<p class="MsoNormal">Deposit&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;_________________________________________.</p>
<p class="MsoNormal">[required where the anticipated cost of reproduction. 
exceeds $5.00]</p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal">_______________________________________&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
__________________________________</p>
<p class="MsoNormal">
Applicant&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
Municipal Official</p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal">Date:_________________&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Date: ____________________</p>
<p class="MsoNormal">
<a style="font-family: Times New Roman; color: blue; letter-spacing: 0pt; text-decoration: none underline; text-underline: single; text-line-through: none" href="http://www.boontontownship.com/">
http://www.boontontownship.com/</a></p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal" align="center" style="text-align: center">
<span style="font-size: 8.0pt">Page 2</span></p>

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