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Amount: $ RECEIPT:
Initials
REQIISST FOR REPRINT OF OVERSIZED DOCIIMENTS OR
BIIILDING PLANS AND BLIIE PRINTS
Date of Request: � � /G �'
Name: Kof� �✓ ►� `'� r�- Phone: `7 / 7"' �s7-'�
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Address: Q�s ��a�. ,���G�� /t���� ��� - �J � 01. �'
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City: ��UYv �� ��:i; u� ���f�,�u
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state: zip: S�3 S �_ ��::;.:C:1%L;t;?� ,+ .�,
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Description of document( s ) to be reprinted: � I' ��`t"✓V�, •���.:•_��i�r�• rrrri
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CHARGES: (the following charges are subject to rate changes)
Oversized Documents From Microfilm
The charge for such reprints is 2.50 each. There is an
additional $10 . 00 charge for pickup and delivery.
Building Plans and Blueprints
The charge f or such reprints is $0.12 per square f oot with
no minimum charge. Reprints will be made at: Engineering Repro
Inc., 13700 lst Ave N, Plymouth, MN 55441. Telephone: 473-2902.
All charges must be paid at the time of the request, and are
non-refundable. Requests will require a minimum of three ( 3)
working days to fill , and must be picked up at the City offices
unless other arrangements have been made. If prints are
delivered and picked up by courier service, the charge for such
service is to be paid by requestor.
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