Initial Request
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
0005369661
Release Decision:
IPPUB U
Original Classification:
Document Page Count:
3
Document Creation Date:
June 24, 2015
Document Release Date:
April 12, 2011
Sequence Number:
Case Number:
F-2010-01901
Publication Date:
February 26, 2009
File:
Attachment | Size |
---|---|
DOC_0005369661.pdf | 48.81 KB |
Body:
(b)(3)
(b)(6)
Information and Privacy Coordinator
Central Intelligence Agency
Washington, D.C. 20505
APPROVED FOR RELEASE^ DATE:
03-01-2011
Pursuant to the federal Freedom of Information Act, 5 U.S.C. ? 552, I request access to
and copies of any and all presently existing documents pertaining to, addressing or
otherwise regarding Dairy Queen/Orange Julius Treat Center located at 716
WASHINGTON Ay l SE, MINNEAPOLISr Minnesota 55414 X917, United States of
America.
I would like to receive the information in electranic format (CD-ROM.)
I agree to pay reasonable duplication fees for the processing of this request in an amo
not to exceed $40. However, please notify me prior to your incm-ring any expenses iu
excess of that amount.
If my request is denied in whole or pare, I ask that you justify all deletions by reference to
specific exemptions of the act. I will also expect you to release all segregabie portions of
otherwise exempt material I, of course, reserve the right to appeal your decision to
withhold any information or to deny a waiver of f es.
I look forward to your reply within 20 business days, as the statute requires.
Thank you for your assistance.
Perjury Stagement:
Under Penalty of perjury, I hereby declare that I am the person named above and I
mzderstand that any falsitication of this statement is punishable under the provisions of
Title 18, United States Code (U.S.C.), Section ] 001 by a fine of not more than S 10,000 or
by imprisonment of not more than five years, or both; and that requesting or obtaining
any record(s) under false pretenses is punishable under the provisions of Title 5, U.S.C.,
Section 552a(i)(3) as a misdemeanor and by a fine of not more than $5,000.
Signature--- __ __ Date_