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2. You do not have to provide contact information. However, to communicate with you about your request, we will need a way to contact you.

   * Request for Records Pursuant to Indiana Access to Public Records Act (I.C. 5-14-3-1, et seq., as amended)

4. Last Name
5. First Name
6. Phone Number
8. Address 1*
10. City
11. State
12. Zip
14. Email Address
16. Information Requested (Be as specific as possible):*
18. Date range *
20. Questions?

    Contact City Clerk - Treasurer Angie Hamrick at 260.748.7012.

22. By signing this document, I understand that the city may charge a fee for providing copies of the requested public records, following the General Reproduction fee table.*
23. General Reproduction fee table
    General Reproduction fee
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit Submit and Print

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