Research Request Form (old)CITY OF MIAMI BEACH
CITY CLERK'S OFFICE
RESEARCH REQUEST LOG
Requested by:
(Please print name clearly)
Department/Address:
Date:
PHONE:. ,FAX NO
SUBJECT/ITEM REQUESTED:
RELEVANT DATES IF ANY:
SPECIAL INSTRUCTIONS:
Status: Courier, Mailed Faxed
Request: Video ,,, Audio CD
Request received by
Assigned to:
Requestor notified or information sent on:
Date: Time:
Picked Up. E-mailed ~
Copies Certified
Date:
Completed:
Initials: