Date
So-and-So
123 Street
Anytown, AZ 85000
PUBLIC RECORDS REQUEST
So-and-So,
Pursuant to the state open records act, I request access to and all copies of _______ for the town for the past ______ months.
If my request is denied in whole or part, I ask that you justify all deletions by reference to specific exemptions of the act.
Thank you for your assistance,
Your name
Your contact info