K - Sunshine Law: Records Request Form

Appendix K

Sunshine Law: Records Request Form

Little Dixie Regional Libraries

Director

111 N. 4th ST.

Moberly, MO 65270

I request that you make available to me the following records:

________________________________________________________________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________

Or records that relate to:

__________________________________________________________________________________________________

__________________________________________________________________________________________________

I request that the records to my request be copied and sent to me at the following address:

_______________________

_______________________

_______________________

_______________________

Please let me know in advance of any search or copying if the fees will exceed $_____.

If portions of the requested records are closed, please segregate the closed portions and provide me with the rest of the records.

Name:____________________________ Email: _____________________

Address:________________________________ Phone number:_________________

Posted online September 7, 2021