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MILTONIII�
ESTABLISHED 2006
Walk -In Request for Public Records
Date:
3 I
Name:
0o FoS
Address:
Email:
D lJ C-10 ✓Sk, , UV4-�C-7
Phone:
Pursuant to O
describe in specific
document retrieval
C.G.A. 50-18-71 et seq., I am formally requesting to inspect these specific public records. Please
detail the records you are requesting, specific key words, and/or date ranges will help in the
process:
p
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C-06-D of-) Sef 1C La `Tot �--A-ifs Nl(`r
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I agree to pa
by Georgia law,
search, retrieval,
lowest paid ft
training to pei
any copying and/or administrative costs incurred in fulfilling my request to the extent permitted
Such costs may include copying charges of $.10 per page and administrative charges for
and other direct administrative costs. Administrative charges shall not exceed the salary of the
It time employee who, in the discretion of the custodian of the records, has the necessary skill and
form the request. The requester is not charged for the first 15 minutes of time.
Name (Print):
oU �D\j
Signature:
IV
ORR-3