REQUEST FOR RECORDS I request the records/recorded proceedings of the below-entitled court case. Please allow ten (10) working days for records ______________________________ Name of Defendant _________________________ District Court Case # ______________________________ Date of Hearing Records are to be ____Picked up by Requestor _____Mailed to Requestor MAIL COPIES TO THE FOLLOWING ADDRESS (Include a self-addressed, stamped envelope with the appropriate postage for all “To Be Mailed” requests or pay an additional $1.00 for each mailing. Mail To: Name__________________________________________________ Address________________________________________________ Phone #________________________________________________ ___________________________________________ Requestor’s Signature _______________________ Date DUPLICATION FEESCopies of CD’s Photo Copying Certification of Document Postage NSF Checks $25.00 per CD + $1.00 if mailed .15 per page $6.00 each document actual costs $30.00 ALL FEES MUST BE PAID PRIOR TO RECORDS BEING COPIED American LegalNet, Inc. www.FormsWorkflow.com