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Request for Public Record

Please note that * indicates required information.

Name / Organization *
Street Address
City
State
Zip Code
Telephone * (xxx) xxx-xxxx
Email Address *

Description of Document Date/s No. of Copies No. of Pages Amount Due
Total Due: $

I / We agree to pay the City of Rancho Mirage at the rate of $1.00 for the first page and .30ยข per page thereafter as listed above at the time of receipt by my representative. Other charges may be applicable based on City Council Resolution #94-39. These charges are payable in advance of preparation of said documents.

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