Public Record Request Production Cost Estimation/Reconciliation Form
Name: Keith Guille
Division/Section: Land Quality Division
Staff Time/Supervising Fees
Clerical Staff Time
IT Staff Time
Professional Staff Time
Programming & computer services
Total
Additional Agencies
Additional Agency Cost Estimation ____________________
Additional Agency Cost Estimation ____________________
Additional Agency Cost Estimation ____________________
Total
Electronic & Non Electronic Fees
Standard (8.5x11) BW Copy
Standard (8.5x11) Color Copy
Legal (8.5x14) BW Copy
Legal (8.5x14) Color Copy
Other sheet size
Photograph
Utilization of an outside vendor for copying
Custodian's fee for supervising
Special items (i.e. film)
Scanning non-electronic public records
Electronic Media (disk, thumb drive, etc.)
Mailing, including cost of shipping container
Facsimile
Other

Total
LESS $180.00 for electronic records (apply if applicable)
TOTAL FEES: STAFF TIME & PRODUCTION COSTS

Phone Number: 307-777-6105
Request: #19-41
Fees
$15.50 hour
$30.00 hour
$40.00 hour
Actual Cost
1216 Emails
Fees
See Attached
See Attached
See Attached

Cost Estimation
219.89
30.40
202.67
$452.96

$0.00
Fees
$0.10/page
$0.60/page
$0.25/page
$1.00/page
Actual Cost
Actual Cost
Actual Cost
Same fees for applicable staff time
Actual Cost
$0.10/page
Actual Cost
Actual Cost
Actual Cost
Actual Cost
$0.00
-$180.00
$272.96