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Public Information Request
(for Police Department Public Information Requests- click here)
FIRST & LAST NAME:
 
MAILING ADDRESS:
 
CITY:
 
STATE:
 
ZIP:
 
PHONE NO.:
 
EMAIL:
  

 
NAME OF FIRM OR COMPANY REPRESENTING (if applicable):
 
INDICATE PREFERENCE: A COPY OR VIEWING/INSPECTING THE RECORD(S):
 
DESCRIPTION OF PUBLIC RECORD(S) BEING REQUESTED: (Attach additional information if needed.)
 
I understand I am responsible for any applicable charges as a result of this open records request.
 

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