HomeMy WebLinkAboutRequest for info Amount: $
Initials:
REQUEST FOR REPRINT OF OVERSIZED DOCUMENTS
OR BUILDING PLANS AND BLUEPRINTS
Date of Request: ` �/ — /� � � 7
Name: `�e r.� � �...r�-
Address: T�3 0 (,.` e�-� 4 �,-f-e �ol �
City: �� ,,,_, ,,,,�,��r,.. �.� State: �� . Zip: �S S 3 �S— •
Phone: (Work) �3S - 7 7 d- S (Home) �3`—,7a 3 3
Description of document(s) to be reprinted: , ���-u.�� �t�'-�riy� � ��2/r �-�+'�.'-�,✓�-�-�-P �C�
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CHARGES: (the follo�,ving c:�arges are subject to rate changes)
Oversized Documents from Microfilm
The charge for such reprints is the cost of copying service, Messenger service and a minimum
clerical fee of $5.00.
Buildin� Plans and Blueprints
The charge for such reprints is the cost of copying service, Messenger service and a minimum
clerical fee of $5.00.
All charges must be paid at the time of the request, and are non-refundable. Requests must
be picked up ut the Ciry offzc�s unless other arrangements have been made. If prints are
delivered an� �ick�d up by a courier service, the charge for such service is to be paid by
requestor.
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Signature
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