REQUEST to INSPECT
PUBLIC RECORDS
(please print or write clearly)
Date:
Requester:
Name
Street / Mail Address
City, State, Zip Code
Telephone
I would like to inspect the following document(s):
I would like to request a copy of the following document(s):
I
f the City of Aztec does not maintain these public records, please let me know who does, and
include the proper custodian’s name and address.
I agree to pay $.50 per page for copying charges. If the copy charges will exceed $5.00 please
call me to discuss. I understand that I may be asked to pay the fee for copies in advance before
the City of Aztec makes any copies. I also understand that I may be charged for the time it takes
to copy documents. I will be provided a receipt upon request. (Note: copy charges may differ
depending on item and size of page item).
T
hank you for your prompt attention to this matter.
P
rinted Name:___________________________
Signed:
Approved:
(Signature of Requester)
(Karla H. Sayler, City Clerk)
201 W. Chaco St.
Aztec, New Mexico, 87410
www.aztecnm.com
click to sign
signature
click to edit