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6. First Name
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7. Last Name
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9. Address
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11. City
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12. State
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13. Zip
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15. Department*

    1. City Manager
    2. Human Resources
    3. City Clerk/Finance

    1. Public Works
    2. Utility Services
    3. Municipal Development

    1. Recreation
    2. Police
    3. Fire

    1. Main Street
    2. Other

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17. Information Requested*
    Please describe the public records you wish to receive and be as specific as possible.
19. Public Records Policy
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21. Where to send invoice and information*
    Please advise where to send the invoice for payment and records after full payment has been received.
23. Acknowledgement of Understanding*

    An invoice will be sent to requestor showing the tentative cost. Tentative cost must be paid in full prior to request being processed. Requestor will be notified if any time incurred over the amount estimated which must be paid prior to release of documents. Payment should be remitted to Julie Chance by mail or in person at 2898 Green Street, Marianna, FL 32446. If paying by check, make payable to City of Marianna with a memo stating public records request. Requestor will be given a receipt of payment. The City will respond to this request within ten (10) working days.

    1. I Understand
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25. 1. Receive an email copy of this form.
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