Laserfiche WebLink
i <br />RECORDS DISPOSITION DOCUMENT <br />NO. <br />PAGE OF PAGES <br />1. AGENCY NAME and ADDRESS <br />t <br />CY,,caresi ilc�` iY\(1)-\ tC\LYriP_A�. <br />2. AGENCY CONTACT (NameIand Telephone Number) <br />\ ' shr -G1 <br />C)\ --i �'� <br />(112) 211, - 3g51 Ext. <br />3. <br />NOTICE <br />one). <br />• <br />OF INTENTION: The <br />a. Destruction <br />scheduled <br />■ <br />records listed in Item 5 are to be <br />b. Microfilming and Destruction <br />disposed <br />EE/ <br />of in the manner checked below (specify only <br />c. Other &-,Inns c\v, ti U' •-•-) <br />4. SUBMITTED BY: I hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for <br />the reco-.J/have been fully justi ied, and that furth/err retention is nott required for any litigation pending or imminent. <br />4� , Gf/iaa - �hAR iie.iii, /In -411 / i/ /D- 3- i' <br />Signature Name and Title Dat <br />•.• <br />:.- _... .q, . 5: LIST_ OFRECORD;SE _ - <br />a. <br />Schedule <br />b. <br />Item <br />c. <br />TitleRetention <br />d. <br />e. <br />Inclusive <br />, <br />f. <br />Volume <br />In <br />9. <br />Disposition <br />Action and <br />No. <br />No. <br />Dates <br />Cubic <br />Feet <br />Date <br />Completed <br />After <br />Authorization <br />L 2 <br />t'{� tlh Linc; s,n� '1 ��ca,- -L -t1\;c eS <br />1 <br />years <br />2-00 -- 2c't� <br />•aLS <br />Nre <br />10-9-i9 <br />6. DISPOSAL AUTHORIZATION: Disposal for the above listed <br />records is authorized. Any deletions or modifications are indicat::. <br />7. DISPOSAL CERTIFICATE: The above listed records have been <br />. .'sed of in the manner and on the date shown in column g. <br />i re <br />Date <br />-- <br />_-e\ <br />p <br />todian/Records Mana.e ent ,.i -.n Off -r Date <br />Nam:�'j',, itle 4.1 <br />Wit ess <br />274 <br />