Date (mm/dd/yyyy):*
Name of Requester (Last, First):*
Mailing Address:*
City:*
State:*
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Zip Code:*
Telephone (home)#:*
Cell #:*
Fax #:
Email address:*
Pursuant to O.C.G. 50-18-70 et seq., I am formally requesting to inspect certain public records. In particular, records requested for inspection are:
A written response will be provided within three business days.
I agree to pay any copying and/or administrative costs incurred in filling my requests to the extent permitted by Georgia law. Such costs may include copying charges of $.10 per page and administrative charges for search, retrieval, mailing costs, and other direct administrative costs. Such administrative charges are not to exceed the salary of the lowest paid full-time employee who, in the discretion of the custodian of the records, has the necessary skill and training to perform the request. ( The requester is not charged for the first fifteen minutes of time.)
Electronic Signature (First, Last): *Please be aware that an electronic signature is as legally binding as a handwritten signature.*
Please be advised that the City has designated its City Clerk as its Open Records Officer. Pursuant to O.C.G.A. § 50-18-71(b)(2), the 3-day period for the City’s response to a written open records request shall not begin to run until the request is made in writing to the City’s Open Records Officer.
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