Extended Information Request (Under Freedom of Information Act - FOIA)

2. Felicia Rutledge, City Clerk
   www.cityofinkster.com<br>City of Inkster<br>26215 Trowbridge<br>Inkster, MI 48141

   www.cityofinkster.com
   City of Inkster
   26215 Trowbridge
   Inkster, MI 48141

3. Phone Number and Email
   313-563-9770<br> frutledge@cityofinkster.com

   313-563-9770
   frutledge@cityofinkster.com

5. Requestor Name

7. Address

9. City

10. State

11. Zip Code

13. Email Address

15. Phone Number

16. Secondary Phone Number

18. What are your Information or Records requested, and in what format do you need them?

20. How do you want to receive this information?

    1. Mail
    2. Pick it up
    3. Email

22. Important Note
    If the scope of this request requires more than a half hour of labor, a fee will be charged for the search, examination, review, and, if appropriate, the deletion and separation of exempt from nonexempt information as provided in Section 14 of the Freedom of Information Act. This fee is being charged because the failure to do so would result in unreasonably high costs to the City.

    If the scope of this request requires more than a half hour of labor, a fee will be charged for the search, examination, review, and, if appropriate, the deletion and separation of exempt from nonexempt information as provided in Section 14 of the Freedom of Information Act. This fee is being charged because the failure to do so would result in unreasonably high costs to the City.

24. Date and time received
    Date and time received

    Date and time received

25. Date needed by

27. Date that fee was approved by (deposit received by)

29. Department assigned to

30. Date request completed

32. Requestor notified by date

34. Requestor notified via

    1. Phone
    2. Mail
    3. In Person
    4. Email

36. Delivered date

38. Delivered by

    1. Phone
    2. Mail
    3. In Person
    4. Email
    5. Fax

40. Fee ($) for paper copies (8.5 inches by 11 inches) at 10 cents per page

    Calculate based on number of pages.

41. Fee ($) for paper copies (11 inches by 14 inches) at 10 cents per page

    Calculate based on number of pages.

43. Fee ($) for Computer Media - CD-Roms at $5 per item

    Calculate based on number of CDs.

44. Fee ($) for Computer Media - DVDs at $5 per item

    Calculate based on number of DVDs.

46. Fee ($) for sleeves at $1 per sleeve

    Calculate based on number of sleeves.

47. Record Mailing Costs - USPS or Ground Carrier - Envelope Size and Cost ($)

49. Labor Costs - if more than a half hour of clerical work

50. Other costs ($)

52. Total Charges

Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

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