Online Records Request

In accordance with the Inspection of Public Rcords act, I would like to inspect or copy the following documents. I understand that any copies requested will be subjected to the usual cost of $1 per per surface copy for the first ten and $.50 per surface copy thereafter. 

 

ONLINE RECORDS REQUEST FORM
 
Describe the documents
you are requesting. Please be
as specific as possible.
First Name:
Last Name:
Address:
City:
State:
Zip:
Daytime Phone:
Email:
Send responses by: Email  US Mail Customer Pick-up
Tell me if cost exceeds