RECORD OF INSPECTION and/or DELIVERY OF COPIES Inspection of Public Records Date Time In Time Out Person Inspecting Records Name Signature Person in Attendance Name Signature Records Reviewed (describe) Copies of Public Records Record No. Delivery Method Date of Cost (if any) Date and Pages (mail, e-mail, Delivery Method of etc.) Payment Staff Person Providing ________________________ _________________________ Copies Name Signature
RECORD OF INSPECTION and/or DELIVERY OF COPIES Inspection of Public Records Date Time In Time Out Person Inspecting Records Name Signature Person in Attendance Name Signature Records Reviewed (describe) Copies of Public Records Record No. Pages Delivery Method (mail, e-mail, etc.) Date of Delivery Cost (if any) Date and Method of Payment Staff Person Providing Copies ________________________ _________________________ Name Signature
SEcK5-13.docx