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Public Records Request FOR CLERK'S OFFICE ONLY

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Complete the information below to request copies of public information.

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Your Full Name*

Mailing Address

City

State

Zip Code

Zip-Zip +4
Second portion of ZIP Code is optional.

Telephone

Phone Area Code-Phone 3-Phone 4 ext Extension

Email Address:

Today's Date

MonthDay Year,

Please Do Not Complete The Following Field

Describe The Record You Are Requesting

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