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<br />;. <br /> <br />... <br />" <br /> <br />e <br /> <br />. <br /> <br />City of La Porte , <br />Records Va nIt Transmittal Form <br /> <br />Effective Date of Record: <br /> <br />c...SD <br /> <br />.s -tq-o{ <br /> <br />'Dept. Submitting Records: <br /> <br />IIU. " <br />Type of Records /Documents: ~ <br />Records/Project Description: ~1 ~ r ~'6 .JtJp.J 7- <br />+1i W-f11- ~<!- L-P '" C}vu:le- ~ 8$ ~,(}7'€-. <br /> <br />State Schedule Category Titles: <br /> <br />IOtJti-DS- <br /> <br />State Category Number: <br /> <br />State Destruction Date: <br /> <br />Dept. Assigned Destruction Date: <br /> <br />Project/City Location: <br /> <br />c-f=' <br /> <br />Dept. Project/Number: <br /> <br />" <br /> <br />CompanylDeveloper: <br /> <br />Misc. Information: <br /> <br />Note: As much information as possible of the above will be included in the Records <br />Folder Label, please 'remember, we are limited to the number of characters that <br />Can be typed into the"Muni-System, <br /> <br />Data Entry Completed: <br /> <br />Date <br /> <br />By <br /> <br />......................................................................... <br /> <br />City Secretary's Office Use Only <br />", <br />Records Vault File Number: ;l. rJ/) /. rP..1-75 <br />Date Records Transmitted to Vault: <br />Records Manager Signature: <br />City Secretary Departmental Approval: <br /> <br />Note: A completed copy of this form will be returned to the ,originating department. <br />S:\AdminShan:\V AUL nCity of La Porte Records Vault Transmittal Fonn.doc <br />