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TO: COUNTY CLERK – HOLLIS BARTON OPEN RECORDS REQUEST - GORDON COUNTY Pursuant to the open records law, I would like to (please check one): _____inspect and copy; or _____obtain copies of the following Gordon County records (please be as specific as possible): Please check one: I would like to review the documents/receive the copies within three business days of this request, if the records are available; however, I understand that if the records cannot be produced within three business days, a timetable for their release will be provided to me; or I do not need the documents/access within three business days, but would like to review the documents/receive the copies by . I understand that, pursuant to O.C.G.A. 50-18-71, I may be charged administrative and copying fees for the cost to search, retrieve, copy and supervise access to the requested documents. This fee represents the hourly rate of the lowest paid full-time employee with the necessary skill and training to respond to my request, with no charge for the first fifteen minutes that it takes to respond to the request. The charge for copies is generally $.10 per page (with the first 15 pages free) unless otherwise provided by law. I agree to pay all copying and/or administrative costs incurred with fulfilling my open records request. If there are any questions about my request, I may be contacted at phone I agree to pay all copying and/or administrative costs incurred with fulfilling my request. Requestor’s Signature Date Name (Print) Address (Print) TO BE FILLED OUT BY GORDON COUNTY: Date Received: Estimated cost to search, retrieve, and copy documents: