2. Officer _____________________'s daily log for the day of ______________.

3. Officer _____________________'s radar log for the day of ______________.

4. The name, model and serial number of the speed measuring device used to ascertain the speed of the vehicle described in citation # _____________ and the serial numbers of the tuning forks used to test the speed measuring device.

5. Copies of maintenance and / or certification records, for the last twelve months, of the speed measuring device that was used to ascertain the speed of the vehicle described in citation # _______________.

6. A copy of the FCC (Federal Communications Commission) license that authorized the issuing police agency and operator of the speed measuring device to lawfully operate the device on a specific frequency and / or range of frequencies.

7. A copy of both sides of the officer's copy of citation # _________________.

8. Other record(s) needed:
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

The records that I am requesting DO / DO NOT need to be certified or their authenticity verified. If there is an additional charge for this, I understand that I must pay for that charge.
I am requesting that the requested records be mailed to me at the following address:
_______________________________________________
_______________________________________________
_______________________________________________

I will pick up the records upon notification that they are available.
Signed ______________________________________

Date ______________________________________