Photocopy Request For Union-Related Business                    Date of Request:______________
	Subject Matter:_______________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Photocopies provided on::__________________        Received by:____________________                                            (Date)                                                                   (Signature) Number of Photocopies Provided:______                 Name:_________________________                                                                                                                     (Print or Type) Provided By: ________________________               Date:__________________________                    Name
				Supervisor's Copy