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� �-�i�,�. � ,, Request for Reprint of Oversized Documents
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� �� '�' `� �,��' or Building Plans and Blueprints
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Date of Request: %-Z�-D y
Document Address: 280 �o L(��Q,� �GZ a�
Name: �`�� �n �
Address: 2�� � u�'`O�-Q'` �
City: � Z�cc State: � Zip: 5539/
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Phone: Q52 "�7 3 - L��►'�9 O
(Work) (Home)
Description of document(s) to be reprinted: ��Q.p� v� ��-u-��"'� /����
CHARGES: All char�es must be paid at the time of the request, and are non-refundable.
Requests must be picked up at the City offices unless other arrangements have been made. The
charges for reprints of oversized documents and building plans/blueprints are based oii the
following:
Cost of Prints: `�XB= 3Z.vo
Special Handling Fee: /a. so
Pickup/Delivery Fee _______$10.50 ___.
Subtotal ,SS a o
6.5% Tax (prints/handling/delivery): 3. S6
Clerical Fee $ 5.00
TOTAL (03. Sg �° G'�C' 70� y��'/os�
(si ture)
2750 Kelley Parkway,P.O.Box 66,Crystal Bay,MN 55323
Phone: 952-249-4600/Fax: 952-249-4616/www.ci.orono.mn.us
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Apri126, 20Q4
Calculating CharSes for Reprints:
1. Image
Each image scan=$5.00
2. Print on Bond Pa er
Paper Size Cost to Scan Cost for First Total Cost for Cost for Each
Print One Print Additional Print
11 x 17 $5.00 $1.00 � $6.00 $ .40
17 x 22 $5.00 $I.50 $6.50 $ .60
22 x 34 $5.00 $3.00 $8.00 $1.20
34 x 44 $5.00 $5.50 $10.50 $2.20
Add the image scan cost of$5.00 plus the cost of the print by paper size; i.e. a 17 x 22"reprint would cost
$6.50
The size of the reprint depends on what size the customer wants and the size of the original drawing.
Sometimes the customer wants the reprint to be the same size as the original,but it could also be smaller
or larger.
3. Special Handling Fee
1-3 images No Charge
4-9 images $12.50 (approximately %4 hour)
10+images $25.00 (approximately %hour)*
*If you have approximately 20 images, it would be $50.00.
4. Pickup/Delivery Fee
$10.50—includes both pickup and delivery
5. Sales Tax
Add 6.5% sales tax on Prints,Special Handling fee and Pickup/Deliver Fee.
6. Clerical Fee
$5.00 as listed in the Orono Fee Schedule
O:�(Forms)�Request for Reprint of Oversized Documents.doc
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Instructions for Reprint of Microfilm
1. One (1)reprint of each microfilm image on enclosed film—total4 images
2. Reprint each on bond paper to 22" x 34" size
3. Return to City of Orono by Friday May 7, 2004
4. Any questions, please call Barb at 952-249-4605
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