Name:  _______________________________________________________


Address:  _____________________________________________________


Telephone Number: ____________________________________________


I would like to request the following document(s):









Date and Time



The Missouri Sunshine Law requires that each request for access to a public record be

acted on no later than the end of the third business day following the date the request is

received by the custodian.  There also may be a fee charged for these services pursuant to

Valley Park Ordinances.

Fees Assessed  $ _____________

Received by City of Valley Park this ______________ day of

_______ at _______ (a.m./p.m.)



City of Valley Park