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RECORDS DISPOSITION DOCUMENT NO. <br /> PAGE OF PAGES <br /> 1. AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone Number) <br /> T��tah V,Xq-a-v CovAkA <br /> (�nimd� Cvn�ro\ ,jASch U�t�Vi� <br /> u3�s N3rd �tr`�-tov <br /> V e ro (Sema,, F, 32 9 1 (��'l ) LZ l� - �{P(v Ext. <br /> 3. NOTICE OF INTENTION: The scheduled records listed in Item 5 are to be disposed of in the manner checked below(specify only <br /> one). <br /> Ira. Destruction ❑ b. Microfilming and Destruction ❑ c. Other <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 re rds v een fully justified,and that further retention is not required for any litigation pending or imminent. <br /> r, u a av ab >f <br /> Sig Oture Name and Title Date <br /> 6. LIST OF RECORD SERIES <br /> f g. <br /> a b. c, d e. Volume Disposition <br /> Schedule Item Title Retention Inclusive In Action and <br /> No. No. Dates Cubic Date <br /> Feet Completed <br /> After <br /> Authorization <br /> G51 -SL MIA C-01 �-D 1 �ecordS �4� -1a�vuc� �o�� —s�t,� X01( .� <br /> yQars 0 <br /> 6. DISPOSAL AUTHORIZATION: Disposal for the above listed 7.__DISPOSAL CERTIFICATE: The above listed records have been <br /> records is authorized. Any deletions or modifications are indicated. = disp sed o tier and on the date shown in column g. <br /> Date <br /> Y (A- <br /> stodian/Records Manageme iaon!)cer ate NaKe, rTfi Title <br /> ,'�J ��'\J <br /> itriess <br /> 27 <br />