COPY / RESEARCH REQUEST - Las Vegas Justice Court

Criminal Division ? Copy / Research Request

COPY REQUEST

Fee: $0.50 per page

RESEARCH REQUEST

Fee: $1 per Name per Year (Last 10 years maximum)

Case Number:

Name to Search:

Check the Type of Document:

Disposition Minutes Complaint Other:

Date of Birth: Years to Search:

years

Document requested to be: Certified Copy ($3.00 per transaction) Plain Copy ($0.50 per page) Exemplified Judgment ($6.00 per transaction)

Document requested to be: Certified Copy ($3.00 per transaction) Plain Copy ($0.50 per page) Exemplified Judgment ($6.00 per transaction)

Return Method: Mail Copies Pickup Copies

Mailing Address:

Return Envelope Provided?

YES

NO

Signed: Typed or printed name:

Return Method: Mail Copies Pickup Copies

Mailing Address:

Return Envelope Provided?

YES

NO

Date: Phone Number:

Received By: Tendered Type: Tendered Amount:

To Be Completed by Clerk's Office

Fulfilled By: TOTAL COST OF REQUEST: Receipt Number Issued:

RETURNED REQUESTED ITEM VIA:

Mailed in Return Envelope Provided Mailed in

Placed in Pickup Bin (Folder

)

Envelope

LVJC Form -137 Revised 04/14

Original-File Copy-Applicant

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