20080229 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 ½ 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