Doing Business As (DBA)
Copy Request
Alpena
Complete the following:
Fee: $10.00 for one certified
copy.
$
5.00 for each additional copy of the
same record purchased at the same time.
The issuance of records is
governed by
Name of business _________________________________________________________________________
Name of owner _________________________________________________________________________
Name & Address of person
requesting copy: _____________________________________________
_____________________________________________
_____________________________________________
Telephone number: _____________________________________________
I, the undersigned, affirm
that I am in compliance with
_________________________ ___________________________________________
Date Signature