Town of Jupiter Public Records Estimate Charges Department Name _______________________________ Subject: Public Records Request for Service Charge: Position Title: Hourly Rate $ Hours (less initial 30 minutes): Total labor cost: $ Total pages copied: @ $.15 per copy: $ Total CDs purchased: ___________ @$1.00 per CD $ __________ * Estimated Charge: $ ______________ Total Charge: $ _________________ I agree to pay all charges up to the amount as enumerated above for this Public Records Request. Name Date * Cost estimate of the charges necessary to complete this request before proceeding. V:\Administration\PUBLIC RECORDS\PublicRecordsEstimateCharges