City Recorder

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Records Request

Requester

Section I
In accordance with the Governmental Records Access Management Act, I am requesting
the following records: (Must be very specific)


I understand that the cost of copying, certifying and research are my responsibility and authorize cost up to $
Copies--$0.25 per page; Certifications--$2 each;
Research, 1-15 minutes--no charge; over 15 minutes--$30 per hour.

Section II
If records requested are not public, explain why you believe you are entitled to access:





Section III

Section IV
DIGITAL SIGNATURE
I CONFIRM that the above information is correct.

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