To: [Agency records custodian, through the published request channel] Subject: Indiana APRA request: automated license plate reader governance records Date: [MM-DD-YYYY] Under the Indiana Access to Public Records Act, IC 5-14-3, I request the following existing records held by [agency] for [start date] through [end date]. 1. Plate-reader operating policies, access policies, retention schedules and audit procedures effective during that period. 2. Executed contracts, amendments, purchase orders and invoices for plate-reader equipment and data services during that period. 3. Existing lists of authorized partner agencies and executed data-sharing agreements effective during that period. 4. Existing query or access audit logs for [narrow date range], in the fields already maintained, subject to lawful redaction. Please provide an existing electronic format where available. This request seeks existing records, not the creation of a new report. If any portion is denied, please identify the statutory basis and provide the separable nonexempt portions. Please acknowledge the request and explain when responsive records can be provided. Please notify me before fees exceed [$ amount], including any supplemental fee applicable to my residency or entity status. [If applicable and truthful: Please waive a supplemental fee because this request serves the public interest as follows: explanation.] Name: [full name] Contact and physical address: [provide through the agency's required channel] Indiana residency status: [truthful statement, if required] Purpose, if supplied: [truthful description] Signature: [name or signature]