REQUEST FOR OPEN RECORDS
REQUEST FOR OPEN RECORDS The Finance Office will process the request within five business days. (PLEASE PRINT)
Name of Individual Requesting Open Records ________________________________________ Address _______________________________________________________________________ Telephone Number ___________________________________ Date E-mail Address Signature ____________________________________________ Information Requested – (Be Specific) ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
Request Granted [ ] Request Denied [ ]
Reason____________________________________________________
Signature: ________________________________________________
Office of the Mayor • Finance Office 1040 Harley-Davidson Way, Sturgis, SD 57785 • 605.347.4422 • Fax: 605.347.4861 www.sturgis-sd.gov “This institution is an equal opportunity provider and employer.”
Name of Individual Requesting Open Records ________________________________________ Address _______________________________________________________________________ Telephone Number ___________________________________ Date E-mail Address Signature ____________________________________________ Information Requested – (Be Specific) ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
Request Granted [ ] Request Denied [ ]
Reason____________________________________________________
Signature: ________________________________________________
Office of the Mayor • Finance Office 1040 Harley-Davidson Way, Sturgis, SD 57785 • 605.347.4422 • Fax: 605.347.4861 www.sturgis-sd.gov “This institution is an equal opportunity provider and employer.”
