HomeMy WebLinkAboutPRR BernsteinCITY OF Ailffi.@,isirro-rc
City Clerk's Office
130 S. Main Street, Lake Elsinore, CA
(951) 674-3124, Ext. 269
(951) 245-5322 Fax
Gompletion lnformation For Official Use Only
Request No.Date:
Number of Copies x .251 = g
Other Services:
Request Completed By:
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PUBLIC RECORDS REQUEST FORM
)Aftention Requestor: To expedite your request, please fill out this form completelv and identify specificallv the
type of recoiOi Vou -re requesting. Where applicable, the title of the document or other specific identifying
information is advisable. NOTE: The City is not required by law to create a new record or provide public records
exempt by express provisions of law from disclosure. lf the City is required to compile data, write programming
language or to construct a computer report to extract data, the requestor will be charged for time and material. The
City his ten (10) days to determine whether the documents reouested are disclosable oublic records. I
understand that th; CIty of Lrke Elsinore charges $0.25 per page to produce copies of identifiable records and
g0.10 per page for copies of statements filed pursuant to the Political Reform Act (G.C. 81008). Public records are
accessible at alltimes during regular office hours and can be inspected at no charge.
Mailing
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, VV" f7l!,21)<p state: CL Zip code: 4 -<= ^
Phone FaxNo.:
lnformation
Time Period of Documents Requested: From: 1441 rc,
Department Submitting lnformation :
Date Submitted to City Clerk's Office:
Department Routed To:
Clerk's Ofiice Verification (lnitial