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<br />City of La Porte <br />Records Vault Transmittal Form <br />'P ( G\ n " , nB <br />(0 1'110 '3 <br />lA}C. 'Kee~~\e -:eRe)) <br />r-~\fo TIV' ReSo\'e~]) Fo~ <br />J-or 30 1 -e, \ oCK -Zq ~ .,IO~N D-F LA :POt.Te <br />~f- f)EE:tJ.J <br />/OOO-'z 1- <br />;1erm~Yl-f <br />.AJkf <br />F - ';2 'h J4 ne.,q(2. Th~ <br />q 1.). - L\- ~() \ <br />C.1TY of ULPo~1'& <br /> <br />.,.. -~ <br /> <br />. <br /> <br />Dept. Submitting Records: <br /> <br />Date Records Submitted: <br /> <br />Type ofRecordsIDocuments: <br /> <br />Records/Project Description: <br /> <br />State Schedule & Category Titles: <br /> <br />State Category Number: <br /> <br />State Destruction Date: <br /> <br />Dept. Assigned Destruction Date: <br /> <br />Project/City Location: <br /> <br />Dept. ProjectlNumber: <br /> <br />Company/Developer: <br /> <br />Misc. Information: <br /> <br />. <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 />00000000000000000000000000000000000000??oo <br /> <br />. City Secretary's Office Use Only <br /> <br />Records Vault File Number: <br />Date Records Transmitted to Vault: <br />Records Manager Signature: <br /> <br />Note: A completed copy of this form will be returned to the originating department. <br /> <br />Created on June 10, 1998 <br />T:\Forms, Policies & Manuals\CSO\Fonns\Records\Records Vauh TI'IIDSDIittal Fonn.doc <br />