TE City of Schulenburg Public Information Request Form Date of] Request: Information concerning person/organization making the request for record(s): Name: Address: Telephone Number(s): Please describe the record(s) you are requesting: Iam making ai request to: Inspect the Record(s) Receive Copy(ies) of the Record(s) Signature of person requesting record(s): The City of Schulenburg has ten (10) business days to complete the request for records Costs may be charged to the requestor at a rate of $0.15 per copy