20080213 COPY REQUEST FORMCOPY REQUEST FORM
Person Requesting: Nisha R. Box Date Requested: July 31, 2008
Daytime Phone: 360-458-8430 Deputy Requesting:
DOCUMENT TYPE /VOLUME /PAGE / AF NUMBER TOTALS
2 Copies of full size BLA map
1 email copy of BLA map sent to nishab@ci.yelm.wa.us
Total Fees: $
Plotter: Blueline: 8 '/z x 11: 11 x 17: Certified:
Paid: Due: No Fee: Bill: Receipt Number:
Mail: Pick-up: Drop Box: Fax: Fax Number:
Mailing Address: P.O. Box 479, Yelm WA 98597
Ordered Mylar from at R.C. Date: Time: Deputy:
DATE TIME DEPUTY ACTION TAKEN
Copies Completed By(deputy's initials) Date:
Mailed By:(deputy's initials Date:
Copies Picked Up By. (print name) Date