PUBLIC RECORDS INSPECTION AND COPY REQUEST FORM

I, _____________________________________________________________,
(Name, Address and Telephone Number of Requesting Party)
request the custodian of records for Cochise County to provide
for inspection and/or a copy or other reproduction, the following 
public record(s) [Indicate with specificity the record(s) you
wish to have copied or reproduced.  Attach 8 1/2" x 11" sheet for
additional space.]  I WILL LOOK FIRST, THEN DECIDE ABOUT COPIES.





Pursuant to A.R.S. Section 39-121.03, the applicant certifies
that said documents
(Check one):
          ___ Will not be used for a commercial purpose.
          ___ Will be used for a commercial purpose.
I understand that a copying charge of _______ per page will be
assessed.

Date: ___________  Applicant's signature: _______________________

     APPLICATION FOR PUBLIC RECORDS FOR COMMERCIAL PURPOSE 
(Complete this section only if you are requesting records for a
commercial purpose)

I, __________________, hereby depose and state as follows:
    1.  I have read and understand the attached instructions for
a commercial request for public records.
    2.  I am requesting the above documents in order to use them
for the following specific commercial purpose:   (Attach
additional sheet, if necessary)




    3.  The information I have provided herein is true and
correct. 
                                  _______________________________
                                  Requesting Party's Signature
STATE OF ARIZONA  )
County of Cochise )

SUBSCRIBED AND SWORN TO before me this ___________________ day of
_________________, 20____, by __________________________________.

                                  _______________________________
                                  Notary Public

            PUBLIC RECORDS REPRODUCTION REQUEST FORM
               Information and Instruction Sheet
                     Non-commercial request:
    1.  Any person may request to examine or be furnished copies,
printouts or photographs of any public record during regular
office hours (8:00 a.m. to 5:00 p.m., Monday - Friday).
    2.  To request inspection and/or copies, printouts or
photographs of public records, please complete the top portion of
the form, and present it to the department that has the records
requested.  Please be specific so that the records can be easily
identified.
    3.  The County will charge _____ cents per page for copies,
which is approximately equal to the cost of reproducing the
requested material.  Such amount should be paid prior to receipt
of the materials.
                       Commercial Request:
    1.  If the request is for commercial purposes, the top and
bottom portions of the form should be completed and notarized. 
    2.  A "commercial purpose" is the use of all or part of a
public record for the purpose of:  
        a.  sale or resale;
        b.  producing a document for sale;
        c.  obtaining  names and addresses from the record for
the purpose of solicitation;
        d.  selling names and addresses from the record to
another for the purposes of solicitation or other monetary gain;
or
        e.  any other purpose in which the purchaser can
reasonably anticipate the receipt of monetary gain from the
direct or indirect use of such public record. 
    Commercial purpose does not mean the use of public record as
evidence or as research for evidence in an action before a
judicial or quasi-judicial body. 
    3.  Charges for a commercial request shall include:
        a.  A portion of the cost to the County for obtaining the
original or copies of the documents, printouts or photographs to
be reproduced,
        b.  A reasonable fee for the cost of time, equipment, and
personnel in making the copies, and
        c.  The value of the reproduction on the commercial
market.
    4.  Please note that one who obtains records for a commercial
purpose without indicating the commercial purpose, or obtains the
records for a noncommercial purpose, and then uses or allows the
use of the records for a commercial purpose, will be liable for
damages in the amount of three times what the County could have
charged had it known, plus costs and attorneys fees.  A.R.S.
Section 39-121.03(C).  Furthermore, if a false statement is
given, the requester can also be guilty of a felony.  A.R.S.
Section 39-161.