Please print this form, fill it out, and return it to our offices along with payment. Please allow 10 working days for processing.

You may also contact us at 702-455-3855 to process your request over the phone, or for any assitance you may require.

Date:	___________________________	Amount due:	_____________________
Requested by:	___________________________	Amount paid:	_____________________
Telephone#:	___________________________	Received by:	_____________________
Address:	___________________________
	___________________________
	___________________________
E-mail Address:	___________________________
Format:
	____ Shapefile
Media:
	____ FTP
Statement of limited use: GIS data cannot be sold or disseminated by the recipient party. Acknowledged:   _______________________________________________________________

Category:	Data included:	Price:
All Assessor's Office Data	All available related data: parcels, condos, lotlines, partial easements plus property and ownership tabular data. This product is a snapshot (reflects data at point-in-time) and does not include updates.	$2,500
Individual Assessor's Office data	related data: condos, lotlines, partial easements plus property and ownership tabular data.	$50 per section
	Book: ______ Sections: __________________ Book: ______ Sections: __________________ Book: ______ Sections: __________________ Book: ______ Sections: __________________
Individual sections of aerial photography	One Section (square mile) of 1 foot/pixel color aerial photography in tiff format.	$20 per section
	Available for flights prior to Spring of 2010 only. Pixel size: 1 foot Book: ______ Sections: ____________________________ Book: ______ Sections: ____________________________ Book: ______ Sections: ____________________________ Book: ______ Sections: ____________________________