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This form is available electronically.
FSA-533 U.S.DEPARTMENT OF AGRICULTURE
1. FROM (Name of office and address)
(09-17-02) Farm Service Agency
FREEDOM OF INFORMATION AND WILD COUNTY FSA OFFICE
PRIVACY ACT REQUEST 4302 WEST 9TH ST. ROAD
GREELEY, CO 00634
•
2. TO(Name and address of requestor) 3. DATE REQUEST RECEIVED (MM-DD-YYYY)
•
/-O3
4. AMOUNT REMITTED(If any)
5. The block checked in item 6 below indicates availability of the following information you recently requested:
NNU57- 0.2g-0?-6/
0a e 'C'1, G
6. The Material You Requested(See applicable checked box.)
A Is available in this office and will be furnished upon receipt of a fee. (Send FEE
X remittance(check or money order)and this form to the office shown in Item 1.) $ a do
REMITTANCE PAYABLE TO: TREASURER OF THE UNITED STATES
Is not available in this office.Your request has been referred to:
C Cannot be identified from the information received.Please enter additional information in Item 5 above and return this form to the office
shown in Item 1. BE AS SPECIFIC AS POSSIBLE
D Is exempt from public disclosure due to the following:
NOTE: An appeal to this decision may be fled with the:Administrator,Farm Service Agency(FSA),STOP 0501,1400 Independence Avenue
SW,Washington DC 20250-0501,within 45 days from the date shown below. Enter"FOIA APPEAL"on the envelope and the letter to
assure prompt handling of your request
7. REMARKS •
BA.Sia-N TURF 8B. TITLE BC. DATE(MM-DD-YYYY)
.//,nirrl A r
The U.S partment of Agriculture(USDA)prohibits discrimination in all its programs and activities on the basis race,color,national origin,gender,religion,age,disability,political
be•"''sexual orientation,and marital or family status. (Not all prohibited bases apply to all programs.)Persons with disabilities who require alternative means for communication of
pr. information(Braille,large print,audiotape,etc.)should contact USDA's TARGET Center at(202)720-2600(voice and TDD).To file a complaint of discrimination,write
USu„,Director,Office of Civil Rights,Room 326-IN,Whitten Building, 1400 Independence Avenue,SW,Washington,D.C.20250-9410 or call(202)720-5964(voice or TDD).
USDA is an equal opportunity provider and employer.
Check applicable copy National Office State Office County Office
destination:
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