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Exhibit 3 <br />CITY OF RAMSEY <br />DATA REQUEST COST CALCULATION FORM <br />Fees charged in accordance with Minnesota Statutes Chapter 13, Section 13.03 (3). <br />Date of Request• <br />Description of Information Requested: (i'lease be specific) . <br />Costs for duplication of standard materials are included on the backside. Please use this section to <br />calculate fees for other data requests. <br />Estimated Cost Actual Cost <br />A. LABOR x <br /># hours hourly rate <br /># hours hourly rate <br />B. PHOTOCOPY x <br />Rate # pages <br />C. MAILING <br />D. PRINTING COSTS <br />E. OTHER COSTS (May include computer time, programming, terminal access microfilming and any other costs not listed above) <br />1. <br />2. <br />3. <br />4. <br />5. <br />TOTAL CHARGES <br />AMOUNT TO BE PREPAID <br />(50% OF Est. Total if exceeds $50) <br />AMOUNT DUE UPON COMPLETION <br />PREPARED BY: <br />DEPARTMENT: <br />DATE: <br />18 <br />