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01262024-2200 S. Anaheim Blvd., Suite 217 Anaheim, CA 92805 714) 765-5166 • fax (714) 765-4105 www.anaheim.net Request for Public Records Page 1 of2CityofAnaheim Office of the City Clerk STEP 1:COMPLETE all fields on this form. This form is to facilitate and expedite the processing of your public records request. Describe identifiable records in the possession of the City; your request must be sufficiently focused and specific to allow the City to locate the requested record(s). STEP 2:SUBMIT completed form by mail, fax, email or in person to Custodian of Records, Office of the City Clerk, 200 S. Anaheim Blvd., Suite217, Anaheim, CA 92805; tbass@anaheim.net fax: (714) 765-4105 STEP 3:WAIT to receive a response from the City. The City shall determine within 10-days from receipt of a public records request, whether the request, in whole or in part, seeks copies of discloseable public records in possession of the City GC 7927.535(a)]. Please note that if you are requesting the opportunity to inspect records, you will be requested to make an appointment to return at a later date/time to view the documents. Charges for the direct cost of duplication will apply . Documents will not be copied until payment has been received. If payment is not received within 20 days after invoice is sent, you may be required to submit a new request. Please see backside for additional information. REQUESTER INFORMATION Full Name:Date: Company Name: Mailing) Address: City/State/Zip Code: Phone number: Email: Preferred method of contact in the event of questions: Jocelyn Valverde 1/26/24 2:06 PM MY BED BUG LAWYER INC. 91436 com818- Emial DESCRIPTION OF REQUESTED RECORD(S): (Describe the specific public record(s) e.g., date, type, time period covering documents requested etc) RE: 700 W Convention Way Anaheim, CA 92802 To whom it may concern, Please forward any and all of the following documents to our office: Any and all inspection reports, complaints, code violations, notes, or logs, and etc. from 2018 through present. Please send all applicable documents to our office via email to jocelyn@mybedbuglawyer.com The information entered to request for public records is continued on succeeding page(s) I understand that I will be contacted once documents have been identified. If production of records is requested, an estimated cost will be provided to me and I agree that I will be required to submit payment for duplication costs (and mailing) prior to the production of the requested documents. Please note that information contained in any PRA request is a public record and may be subject to public inspection pursuant to the California Public Records Act. I wish to inspect City records Will Pick-Up Records Electronically Signed/Submitted 1/26/24 2:06 PM SIGNATURE OF REQUESTER X Please Mail 200 S. Anaheim Blvd., Suite 217 Anaheim, CA 92805 714) 765-5166 • fax (714) 765-4105 www.anaheim.net Request for Public Records Page 2 of2CityofAnaheim Office of the City Clerk DESCRIPTION OF REQUESTED RECORD(S)-Continuation or via fax to (or via regular mail to the address above. Your attention in this regard is appreciated. If you have any questions or concerns, please contact our office. Thank you!