Cook County Open Records Request

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Cook County Board of Commissioners
Vicki S. Parrish, County Clerk
1200 S. Hutchinson Avenue
Adel, Georgia 31620
vparrish1@windstream.net
229-896-2266 (T) 229-896-6888 (F)
____________________________________________________________________
COOK COUNTY OPEN RECORDS REQUEST
Pursuant to the open records law, I would like to:
____________ inspect and copy;
or, ___________ obtain copies of the following Cook County records:
(In order to reduce administrative and copying charges, please provide as detailed a
description as possible of the records that you are requesting.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Please check one:
________ I would like to review the documents/receive the copies within 3 business
days of this request if the records are available: however, I understand that if the records
cannot be produced within 3 business days, a timetable for their release will be provided
to me; or,
________ I do not need the documents/access within 3 business days, but would like to
review the documents/receive the copies by ______________________ (desired date).
I understand that, pursuant to OCGA 50-18-71, I may be charged administrative and copying fees for the
cost to search, retrieve copy and supervise access to the requested. This fee represents the hourly rate of the
lowest paid full-time employee with the necessary skill and training to respond to your request with no
charge for the first 15 minutes. The charge for copies is generally $.10 cent per page unless otherwise
provided by law. I agree to pay all copying and/or administrative cost incurred with my request.
If there are any questions about my request, please contact me at this number _____________________ .
________________________________
___________________________
Signature
Date
_______________________________ (Printed Name)
_______________________________ (Address)
_______________________________
_______________________________ (Fax Number)
Completion date of Request: ____________________________________
# of Pages_______ Fee Charged ____________
Date Paid __________________ cash ___, check ___ or money order ___

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