Date & Time: _______________ Taken by: _______________ REQUEST FOR COPIES ____ Certified _____Exemplified _____ Plain _____ Review File Name of Defendant: _____________________________________________________________ _____________________________________________________________ Indictment Number(s): _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Documents Requested: _____________________________________________________________ Requestor: ___________________________________ Phone: _________________________ Address if to be mailed: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ If to be picked up - Date: ___________________________ Time: _________________________ _____________________________________________________________________ Comments: _________________________________________________________________________________ -------------------------------------------------------------------------------------------------------------------------------------------- Date request completed: ___________________ By: _________________ Invoice: __________________ Records Management -Fo rm A