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City of La Porte <br />Records Vault Transmittal Form <br />Dept. 'Submitting Records: J C) <br />Date Records Submitted: <br />Type of Records/Documents: fi <br />Records/Project Description:to l L <br />oti6f -e-eZ2 Haf /C J4,0,qJ,: , on <br />State Schedule & Category Titles: <br />State Category Number. ,I QDD -- h <br />State Destruction Date: r <br />Dept. Assigned Destruction Date:, <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 />City Secretary's Office Use Only <br />Records Vault File Number: 0M n <br />Date Records Transmitted to Vault: �- Q <br />Records Manager Signature: <br />Note: A completed copy of this form will be returned to the originating department. <br />Created by Rhonda Yockov <br />Created an lune l0. 1998 <br />C;Wv Docutnents\RLY\RECORDS\R=rds Vault Transmittal Forth IMAM <br />