Rebuilt HTML — PaddleOCR-VL (Baidu)

FOR OFFICE USE ONLY

DETAILS OF REQUEST

1. Date and Time Request Received: ___
2. Request Received by: _____ (Name, Title)
3. Estimated costs of response, calculated as set forth in Exhibit A, attached hereto. Determined by: ___(Name, Title)
4. Estimated costs received: _____ (date) in the amount of $_____ by _____ (Name, Title)
5. Date and Time Request Processed: ___
6. Other relevant information: ___

NOTIFICATION OF RECORDS BEING AVAILABLE / FINAL COSTS

Requestor notified on ___(date) by: ___(Name, Title) ___ Phone ___ Email ___ In Person

___ Records ready for collection on ___

___ Examination of original records scheduled for ___

___ Records mailed/faxed/emailed to requestor on ___

FEE WORKSHEET

Labor Charges

Clerical time $

Professional time $

Outside contractors $

Total $

Exhibit A Estimated Costs of Response/Production

Description Quantity Amount Total

Format of Record(s)

Photocopies (black & white) ____/page

Photocopies (color) ____/page

USB Drive Actual Cost $

Postage Charges

Postage Actual Cost $

Labor Charges

Clerical time $

Professional time $

Outside contractors $

Total $

Explanation on fee estimate, where appropriate:

(Name, Title) on _____

Estimate given by

.(Date)

Estimate received by _____(Name) on _____.(Date)