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2. First Name*
3. Last Name*
5. Mailing Address*
7. City*
8. State*
9. Zip Code*
11. Home Phone*
12. Day Phone
14. Email Address*
16. Documents Requested - Please describe the records in sufficient detail.*
    In accordance with Section 13-2-1 New Mexico Statues Annotated (NMSA), as amended, I would like to inspect the records described above. If your department does not maintain these public records, please let me know who does, and include the proper custodian name and address.
18. Department*

    Please check the department that maintains the requested record.

    1. Community Development
    2. Executive
    3. Finance
    4. Fire

    1. Library
    2. Municipal Court
    3. Museum

    1. Police
    2. Utilities
    3. Unknown
20. Copy Cost Agreement*

    I promise to pay $0.25 per page for copying charges and $0.50 per page for copies larger than 11 by 17. If the copy charges exceed the amount I have listed in "Copy Cost Max", please call to discuss. I understand that I may be asked to pay the fees in advance before you make any copies.

    1. I Agree
21. Copy Cost Max
23. Hours
    Public records will be available for inspection from 8 am to 5 pm on normal business days, in the presence of the records custodian. Original records may not be removed from the Town Offices.
25. Note
    If records are not inspected by the requestor within 5 business days of notification, they will be returned to their respective departments. The requestor will then be required to complete another request for public records.
27. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that: Your application will not be signed in the sense of a traditional paper document. By signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature. You may still be required to provide a traditional signature at a later date.

    1. I Agree
29. Signature*
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field