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•-~ <br />• ~U ~~~ ®~ zAOz <br />~~ ~~ <br />• <br />City of La Porte <br />Vault Transmittal Form <br />Dept. Submitting Records: V(,.~ ~ ICS ' <br />Date Records Submitted: ~, f ~] 1 6 ~. <br />Type of Records/Documents: ~ ~,Q <br />Records/Project Description: ~~ ~~ ~A'~Q.Iv <br />State Schedule & Category Titles: <br />State Category Number: <br />State Destruction Date: <br />Dept. Assigned Destruction Date: <br />~ ao® r <br />goo®- 03~ <br />a, <br />A~ <br />• Project/City Location: <br />Dept. Project/Number: <br />Company/Developer: <br />Misc. Information: <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 />~-r*~~-r~-~~~F~r~k~r~k~~r~~F~~~~+r~~~r~~~~~~r~~r~~~~k~r~k~r~~k~r~k <br />City Secretary's Office Use Only <br />Records Vault File Number: <br />Date Records Transmitted to Vault: <br />• Records Manager Signature: <br />~ea~ . orou <br />Note: A completed copy of this form will be returned to the originating department. <br />Created by Rhonda Yockov <br />Created on June 10, 1998 <br />C:\My Documents\RLYUtECORDS\Records Vault Transmittal Form (998.doc <br />