1. Please e-mail the following records if possible [include as much detail about the records as possible, such as relevant dates, names, descriptions, etc.]:

2. Please advise me of the appropriate time during normal business hours for inspecting the following records prior to obtaining copies [include as much detail about the records as possible, including relevant dates, names, descriptions, etc.]:

3. If all the requested records cannot be e-mailed to me, please inform me by e-mail of the portions that can be e-mailed and
    advise me of the cost for reproducing the remainder of the records requested (25 cents per page or actual cost of
    reproduction).

4. If my request is too broad or does not reasonably describe the records, please contact me via e-mail so that I may clarify my request, and when appropriate, inform me of the manner in which records are filed retrieved or generated.  If it is necessary to modify my request, and an e-mail response is not preferred, please contact me at the following telephone number:

Telephone Number:

Name:

Address:

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E-Mail Address:

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