PSR
Public Service Request
Name (Print): ________________________________________________________________________
Address: ____________________________________________________________________________
City, State & Zip: _____________________________________________________________________
Telephone Number: __________________________________________________________________
Email: ______________________________________________________________________________
Mail or fax request to the Taney County Clerk (Custodian of Records)
Taney County Clerk FAX Number Phone Number
PO BOX 156 417-546-2519 417-546-7249
Forsyth, Mo 65653
Please include specific detailed description of documentation requested :
The Sunshine Law does not require a government body to create a new record, but only provide access to existing
records held or maintained by the governmental body.
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Signature Date of Request
Request taken by: __________________________Deputy Clerk.
************************** For Office Use Only *************************
Date Completed: ______________ By: _______________________________
Total Cost: $ _________________ Date Paid: _________________________
Rec’d by: ____________________ Treasurer’s Office Receipt #: ___________
