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G99 <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 Requcstor: <br />4. Description of Record of Document(s) Requested (to include subject of <br />document, date of document, office, or author, if known): <br />5. Lee County Department to which request if being made <br />6. (If applicable) Lee County Department to which request was referred and date of <br />referral: <br />Date Requcstor Notified of Transfer: <br />7. 1 am aware that the County may charge for records under the Public Records Act. <br />1 agree to compensate Lee County for the reasonable cost of producing the <br />records requested up to 55.00. I understand that I will be contacted should the <br />estimated cost of responding to my request be in excess of $5.00 and that the <br />County will hold my request until I have agreed to the extra cost. <br />Printed Name of Rcquestor <br />Signature <br />8. This form should be sent to Gaynell Lee, Clerk to the Board, at 106 Hillcrest <br />Drive; Sanford, NC 27330 or glee a,leecountvnc.aov <br />5 <br />