General Records Request

Requestor Identfication

First Name^*

Middle Initial

Last Name^*

Address^*

City^*

State^*

ZIP^*

Phone^*

Description of Records

Under the North Dakota Open Records Statue, NDCC & 44-04-18 et seq., I am requesting from the City Auditor of the Tioga,an opportunity to obtain copies of public records as described herein:

Description of records Sought

Please be as specific as public record knowledge will allow

I am aware that the City of Tioga my impose a fee for copies at a rate of 25 cents per page, as well as $25.00 per hour locating fee after the first hour. Additional charges such as postage,color copies, photos and maps may be charged separately. I understand and agree to pay such fee at time of request or prior to disposition. If significant delay in response to or fulfillment of this request is expected, please contact me with information regarding estimated date and time I might expect copies of requested information.

Signature^*