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ESTABLISHED 2006
Walk -In Request for Public Records
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P6uant to O.C.G.A. 50-18-71 et seq., I am formally requesting to inspect these specific public records. Please
les''aribe in specific detail the records you are requesting, specific key words, and/or date ranges will help in the
oatiment retrieval process:
I a e to pay any copying and/or administrative costs incurred in fulfilling any request to the extent permitted
�y�eorgia law. Such costs may include copying charges of $.10 per page and administrative charges for
to h, retrieval, and other direct administrative costs. Administrative charges shall not exceed the salary of the
10st paid full-time employee who, in the discretion of the custodian of the records, has the necessary skill and
trai ing to perform the request. The requester is not charged for the first 15 minutes of time.
Nate (Print)
Sioature:
ORR-3
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