Michigan > Statewide > Department Of Natural Resources
Aerial Imagery Order Form - Michigan
| Aerial Imagery Order Form Form. This is a Michigan form and can be used in Department Of Natural Resources Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
AERIAL IMAGERY ORDER FORM Michigan Department of Natural Resources, Forest, Mineral and Fire Management Division January 1, 2007 Name, company________________________________________________________________________________ Street address (not PO box)_______________________________________________________________________ City, state, zip code _____________________________________________________________________________ Telephone, e-mail ______________________________________________________________________________ IMAGE IDENTIFICATION List the three-part image number from index map, such as 768-33-164 __________________________________________ PAYMENT Make check or money order payable to "State of Michigan" or charge to credit card (VISA or MasterCard) Card number________________________________ __________________________________________ Expiration date______________________________ SITE LOCATION If ordering a digital scan or photographic enlargement, provide map with area of interest highlighted or detailed description of area, such as county name and T42N, R3W, Section 5, SE¼ __________________________________________ __________________________________________ SUBMIT TO Sherman Hollander DNR-FMFM PO Box 30452 Lansing MI 48909-7952 Tel. 517-373-9123 (Fax 517-373-2443) hollands@michigan.gov Signature___________________________________ DELIVERY Normal delivery time is two weeks. Standard shipping is UPS-Ground. Expedited delivery can be arranged through contact person below. CHECK PRODUCT TYPE AND IMAGE YEAR Refer to price list Digital scan 1978 Clear film (9 x 9) 1986 Print (9 x 9) 1987 Print (18 x 18) (1"=660') 1988 Print (18 x 18) (1"=400') 1997 Print (18 x 18) (1"=300') 1998 Print (18 x 18) (1"=200') 1999 Print (18 x 18) (1"=100') DNR ACCOUNTING 73550-51310-9042 (taxable) 73550-51310-9029 (tax) 73550-51310-9043 (nontaxable) COST OF ORDER Total product charges (see price list)_____________ Processing fee per order___________________$6.00 Subtotal____________________________________ 6% sales tax (Michigan residents) _______________ Total amount of order _________________________ American LegalNet, Inc. www.FormsWorkflow.com
|
|||||||
