02162024-04City of Anaheim REQUEST FOR PUBLIC RECORDS
Office of the City Clerk
200 S, Anaheim Wed, State 217
naheirn, CA 9280!i
(714) 765-5166 4 fax (714) 765-4105
A�� �V.anaheicnjlet
STEP I ;all fields on this, forn,j, 'rill; r0rlo is to fiacifitate and expedite the processing oftimir publiec records icquest,
Dc&cribe Wentifiablo records us the Possession of'tile Ciry'. your rcclucst most be sufficoenfly focused and spcciric to rillow
the ('it, to locklic tire requested rccord(s),
S'T[,","P 1 S cornpleled i"orin by Inrol, fee, cillarl or in person to Custodian of'Reccards, office of tire City Clerk, 200
Anaheim Wvd� (714) 765-5166fax (714) 765-4105:
STEP 1111—kllto mccive an invoice tilt re ,sputa
sporenve records-- The City sliall determine within 10-(htys, front reecipt ora pubhc
11000rds,rcquest, IvIlether file request, in Whole of, in part, slicks Copies of discloseable public records it) posscssion ofthe
City JGC 6253(c)], Please inue that if are requesting the opportunity to inspect records, you will be reclucsied to rnake
all APPOn'tolcut to return at a latcr datelfinic to view the documents,
Charges; for file dircct cost ordUld'earitiri will aPPIV, Documents will not be copied until Payment has been received. If
payment is not received within 10 days after invoice is ;crat, you ottly berequiredto submit a flew reciticst, 111ca:
backside for additional information,
REQUFSTER INFORINIATION
Full Name /—q«j aLlarrc?
Date:
,nie� 2 7 It c7"7 6- (-C'
Company Na
(Mailing) Address; City,,State/Zip Code: c
Phone nundier, --Flilait:
Preferred method of contact in the event of questions:
DESCRIPTION OF REQUESTED RECORD(S): (Describe the specific pubfic recard(s) c.g, date, type, finie period covating,
docluilents requested etc)
6
Gcw"e
7�1ALI+e—
C.4,
I understand that I will be contacted once documents have been identified, If production of records is requested, all
estimated cost will be provided to nic and I agree that I will be required to submit payment for duplication costs (and
mailing) prior lo the production of the. requested documents,
E] I wish to inspect City records )Will Pick -Up Records Please Mall
Please note that information contained in any )k request is a pblic record rand nray Ile stibjecl, jar public, Instreetirol (atrfsta.aaaf to, ths
CA Public Records Act,
S I A T U E OF REQUESTER