Blowback/Copy request form from DEP Box 05

NYC 9/11 Public Portal Document

03/10/2004 Blowback/Copy Request Form

Vendor Name:

Deliver completed work to Lucille Spiropoulos (212 788 0975)

Name: Telephone Number:

Today’s Date: Due Date:

Starting Control ID or Box Ending Control ID or Box

Form of Blp^’back/Copy:

dlPaper □ CDs □ Other Tapes: □ Audio □ Video □ Oth^

Blowbacks to be Produced witl^iControl ID:

□ Yes □ No Blowback^Final Pages) should be (che^ all that apply):

IZSingWided 0B/W □ Copy Full Size □ Mi^ (Like for Like) □ 4C □ Reduce and Copy □ Copy in Pieces Use Colpr Dividers/Separators: CI At doc^ent breaks

Divider Cal6r: Caption ID Number:

Blue □ Yellow O Green □ Other □ Yes Paper Copy: “” □ 3 Hole Paper gkw^acks: Post-its indicate documents/folders for which we need blowbacks. If post-it is on ---------------------------- folder, provide blowbacks for entire folder; if post-it is on individual document or a grouping of Assembled with: provide blowbacks for the individual document or grouping. □ Assemble as Ongmai □ Stapled at Document Breaks □ Paper Clipped at Document Breaks □ Rubber Banded at Document Breaks

Authorized by: / « WTC Unit TitleTy Communicated by:

NYC-WTC_000141066