Updated – 01/13
Date:
CITY OF PAGE
INFORMATION REQUEST
Thank you for your interest in Page City Government. Requests for information other than
existing documents or handouts are to be made on this form. A written request assists us in
providing a complete and accurate response. Your request will be handled as soon as possible
depending on sources and complexity of the information needed. Fees charged are set forth in
Resolution No. 1100-12 (Exhibit “A” attached).
Requesting Party
Address Box
City State Zip
Phone FAX Number
Email Address:
List specifically the documents or information desired:
Reason for information request:
General Information or research purposes.
Commercial purposes (Please note - Certain legal restrictions exist on the commercial
use of governmental information - explain commercial use intended.)
Requesting Party Signature
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Office Use Only:
Date Completed By
Duplication Fee $ FAX/Postage Fee $ TOTAL FEES $
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