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:
Estimate given by ___ (Name, Title) on
.(Date)
Estimate received by _____(Name) on _____.(Date)