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                             SUPPLY AS MUCH INFORMATION AS POSSIBLE.

Date of Request:   *required

Use additional pages if necessary:
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I understand that if a list of individuals is provided to me it will neither be used to
promote the election of an official or to promote or oppose a ballot proposition
as prohibited by RCW 42.17.130 nor for commercial purposes or to give or
provide access to material to others for commercial purposes as prohibited by
RCW 42.56.070(9).  It is further understood that I will be charged 15 cents per
page for all standard and legal sized copies.


COSTS:

Standard:     15 cents per standard page (8 1/2 x 11, 8 1/2 x 14 and 11 x 17)
Scanned Pages:  13 cents per page and a  CD:  $3.00
Large Format Copying:    18x24 - $2.00 per copy           30x36 - $5.00 per copy
                                     24x36 - $4.00 per copy           36x48 - $8.00 per copy
                                     30x30 - $4.25 per copy           36x40 - $10.00 per copy
* There is no charge to inspect public records.


I HAVE READ AND UNDERSTAND THIS DOCUMENT

Requester's Name:     *required
Address:                   *required
City / State / Zip       *required
Phone Number:          *required
E-mail:                     *required

For Police Records contact:                 
Katie Ingram, Records Supervisor
Anacortes Police Department 
     (360)293-4684
fax (360)293-1935
katiei@cityofanacortes.org 
For Court Records contact:
Rebecca Welch, Court Administrator

Anacortes Municipal Court  
      (360)293-1913

fax:(360)293-4224  
rebeccah@cityofanacortes.org 


                                                                                                                                           

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