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G4`r <br />0 <br />LEE OUNTY <br />Committed Today for a Better Tornorrow <br />LEE COUNTY <br />OPEN RECORDS REQUEST <br />1. Date of Record Request <br />2 Name of Requesting Party <br />3 Date and Department of Last Request for Public Record by Requestor <br />• <br />4. Description of Record of Document(s) Requested (to include subject of document, date of <br />document, office, or author, if known) <br />5. Lee County Department to which request is being made: <br />6. (If applicable) Lee County Department to which request was referred and date of referral <br />7. 1 am aware that the County may charge for records under the Public Records Act. I agree to <br />compensate Lee County for the reasonable cost of producing the records requested up to <br />$5.00. I understand that I will be contacted should the estimated cost of responding to my <br />request be in excess of $5 00 and that the County will hold my request until I have agreed to <br />the extra cost. <br />Printed Name of Requestor Signature <br />8. This form should be sent to Gaynell Lee, Clerk to the Board, PO Box 1968, Sanford, NC <br />• 27331-1968, (106 t-lillcrest Drive), faxed to 919-774-8407 or glee c leecountync.gov <br />