COPY ONLY REQUEST
FORM
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Your email
address:
Your phone
number:
Your fax
number:
Comments:
*IN THE COMMENTS BOX PUT THE NAME OF THE PERSON THE
SURVEY WAS PERFORMED FOR AND ANY OTHER INFO, DATE,
ADDRESS, FILE NO. ETC....
SELECT HOW YOU WOULD LIKE TO
RECEIVE YOUR COPY
BY CHECKING THIS BOX, I
UNDERSTAND THAT CULPEPPER
AND PURVIS WILL NOT CONTACT
ME OR CONSIDER PERFORMING A
SURVEY FOR ME UNTIL I HAVE
PAID A RESEARCH FEE OF $10.00
(NON-REFUNDABLE) . IF YOU DO
NOT AGREE PLEASE UNCHECK.
Henry D. Purvis retains the right to return any fees and deny any request.
Henry "Dee" Purvis, III
Professional Surveyor
email:
DeePurvis@LandSurvey101.com
Mississippi Counties
AFTER SUBMITTING REQUEST FORM
USE PAYPAL/VISA/
MASTERCARD







$10.00 (non-refundable) Research Fee is
required for copies.
Note: This service is provided to help locate
survey information that is available from Henry
D. Purvis. The survey information is historical
information. There is NO guarantee that the
information is correct or accurate. The survey
information does NOT contain the seal or
signature of Henry D. Purvis.
Work In Progress.  
Please be patient.