HomeMy WebLinkAboutrequest for reprint of documents , � _ �-��>�
� �_��i �
,�
Amount: $ �= �'
Initials:
REQUEST FOR REPRINT OF OVERSIZED DOCUMENTS
OR BUII.,DING PLANS AND BLUEPRINTS
Date of Request: _
_�
; .. ,_.
.
Name: �� �� � � ; �-r �> r ��� �� -�c� ��_
� . n
Address: r�� '"-�� ' �=�'"�`��� �'���'�� �_ :�.
City: /'� ��'� � � /� State: �",� ����! Zip: �"��"� -��,� �j
,, �
� _`__. , �; �-,� �
Phone: (Work) (Home) � > �=` / i � ` � ->G =>
Description of document(s) to be reprinted:
Crc-�/ 7� ` - �_ ;%--�`�
�
r- � . � �- ,_� i � � ;- �a-�,��
CHARGES: (the following charges 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 Bluepririts
The charge for such reprints is the cost of copying service, Messenger service and a minimum
clerical fee of $5.00.
All char�es must be paid at the time nf the request, and are non-refundable. Requests must
be picked up at the City offii;es unless other arrangements have been made. If prints are
delivered and picked up by a courier service, the charge for such service is to be paid by
requestor. ,;
•t C C �
� / _ � . ���) ,�c c� ���� ' �/�
/ �_: ').,{ j 1� �
�' ���1 �{� —����%'�,�����,,��
� f � �-� t �i / � �.
� �G�r u�l �i✓�'1 f-�;� Signature
J
C �� z��� cz� -�- `cc . �-`�� �'�.
� / �_ y
j ct_�, �
X:�APPS\WPWIN60\WPDOCS�DEPCLERK�FOILv1S�PRINT.FRM , , i-'
.__ ;;R ; ;,, i' ��, �,.��
� , ��` � �� �
\v
� ! , �`� � �
�5 �r � � 8- �5 � . o
, , � �—, � c� .