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2. 
4. CITY OF KINGS MOUNTAIN
5. REQUEST FOR PUBLIC RECORDS

7. Anyone wishing information pertaining to the City of Kings Mountain’s public records is asked to fill out this brief form and submit it to the City Clerk. Please note that depending on the nature of the request and/or the numbers of copies requested, it could take several days before the information is made available. Hard copies will be furnished at ten cents ($0.10) per page which will be collected at the time the documents are picked up.

9. Name of Individual Requesting Information*
11. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
18. Email Address*
20. Date of Request*
    Date of Request
22. Please provide a written description of the records you are requesting. The more specific you are, the easier it will be to determine if such records exist in city files. If applicable please include a date range for the records you are requesting. The City will provide those documents to you, unless they are exempt from disclosure under the Public Records Act or other legal reason prevents the documents from being disclosed to the public.*
24. How would you like to receive the records*

    1. Pick Up
    2. Mail
    3. Fax
    4. Email
25. Number of copies you would like*
27. Type your full name here in lieu of a signature to acknowledge your consent*
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

* indicates a required field