2. Please list each document, file, or record separately.
4. I wish to

   1. Review

   1. Obtain Copies
6. Of the following public records:
10. I/We, the undersigned, request documents as indicated above. If copies are received, I agree to pay the City of San Gabriel for copies at the rate of no less than $0.23 (twenty-three cents) per black & white page/ $0.45 (forty-five cents) per colored page for documents requested pursuant to the California Public Records Act Government Code 7920.000 - 7930.215
12. Name/Organization
14. Address 1*
16. Address 2
18. City*
19. State*
20. Zip*
22. E-Mail Address:*
24. Phone Number:*
25. Fax Number:
27. Office Hours 8:00 a.m. to 5:00 p.m. Monday - Friday
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print

* indicates a required field