I, undersigned, do hereby request to (select one)_ examine and/or_ receive a copy of records maintained by the City of Red Bud which pertain to the following: (Please list specific names and dates pertaining to this request.)(Required)Types of Request:(Required) Commercial Non-Commercial To be provided by:(Required) Pick up Email Mailed via USPS (charges may apply-see below) Other If other, who should it be provided by?Consent(Required) By my signature below, I acknowledge no fees shall be charged for the first fifty (50) pages requested. Requests exceeding fifty (50) photocopies are $0.15 per additional one-sided, black and white, letter, legal or 11"x17" copy requested. Certified copies are $1.00 per document. Audio recordings are $0.10 per recording. Mailed documents will be certified mail at a cost of approximately $2.50 per ounce. All fees must be paid via cash or check prior to receiving the requested information.(Required)Name(Required) First Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Email(Required) Submit to: City Hall, 200 East Market Street, Red Bud, Illinois. The form may also be faxed to (618) 282-4344. Upon release of records:Date of releaseName (printed)Name (signed)
