PO
ST OFFICE BOX 850 COWETA, OKLAHOMA 74429 PH. (918) 486-2189 FAX (918) 486-5366
REQ
UEST FOR RECORD INSPECTION AND/OR COPY(S)
RECO
RDS ARE OPEN FOR INSPECTION, COPYING OR MECHANICAL REPRODUCTION
UNLESS SPECIFICALLY EXEMPT BY LAW. THE RECORD CUSTODIAN WILL REVIEW
ALL REQUESTS FOR RECORDS PRIOR TO RELEASE. A REASONABLE TIME IS ALLOWED
FOR RETRIEVAL OF THE RECORDS YOU REQUESTED. LAW PROVIDES FOR A CHARGE
FOR FEES AND COSTS ASSOCIATED WITH YOUR REQUEST. THE FEE ESTABLISHED BY
THE MUNICIPALITY IS FILED IN THE CITY CLERK’S OFFICE.
YOUR NAME:
ADDRESS:
TELEPHONE NUMBER:
RECORDS SOUGHT:(provide details and be specific)
Do you
want to view the records? Yes___ No___ Do you want copies of the records? Yes___ No___
I u
nderstand and agree to pay all fees or costs incurred by the municipality for copying or search of records
to satisfy my request; and, that payments of the fees and costs may be required in advance at the time my
request is made; and that the municipality is not required to make such copies or commence a search of
records prior to payment of the fees and costs. (See the posted fee schedule for charges for copies and
search time.)
SIGNATURE: DATE:
FOR OFFICE USE ONLY
DATE AND TIME OF REQUEST:
DATE AND TIME RECORD/ACCESS PROVIDED:
SEARCH TIME INVOLVED: NUMBER OF COPIES PROVIDED:
TOTAL CHARGES: PAYMENT RECEIVED:
AUT
HORIZATION TO RELEASE RECORDS APPROVED BY COWETA CITY CLERK:
____________________________________ ______________________________
Jul
ie Casteen Date
Revised 7/15/2019
PLEASE EMAIL YOUR REQUEST TO: CityClerk@cityofcoweta-ok.gov
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