Open Records

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					                                         PAM MATRANGA
                                                   PRECINCT 7

                                          GALVESTON COUNTY, TEXAS
                                                 Fax 281-339-3048

                                        Open Records Request

Date Requested:        ______________________________

Name of Requestor: _______________________________________________________________________

Email Address:         _______________________________________________________________________

Address:               _______________________________________________________________________
                       Street Address                        City                   State          Zip

Home Phone:            ______________________________ Alternate Phone:__________________________

Fax Number:            ______________________________

In completing this request, please be exact and provide as much information as possible such as date (or time
period involved) time, location, names of persons involved, etc.

Under the authority of the Public Information Act, I request the following information;

Please fill out the contact numbers where you are readily available. A governmental agency has the right to
request clarification if a request is too vague. We must also be able to obtain a valid fax or mailing address so
we can forward an estimate of the cost of producing the requested material, if that cost exceeds $40.00

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