SUBTITLE C: GOVERNMENTAL RECORDS
CHAPTER IV: STATE RECORDS COMMISSION
PART 4400 STATE RECORDS COMMISSION
SECTION 4400.APPENDIX C RECORDS DISPOSAL CERTIFICATE
Section 4400.APPENDIX C Records Disposal Certificate
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Application Number |
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RECORDS DISPOSAL CERTIFIATE |
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(Authority to Dispose of State Records) |
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To: |
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From: |
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State Records Commission |
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Archives Building |
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Springfield, Illinois 62756 |
Agency |
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Division, Bureau, Section |
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_____ ITEM NO. FROM APPLICATION |
TITLE OF RECORD SERIES |
INCLUSIVE DATES |
CUBIC FEET DESTROYED |
METHOD OF DISPOSAL |
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DIRECTIONS
1. Prepare one original and two carbons. Send the original and one carbon to the State Records Commission thirty (30) days prior to disposal date. Retain one carbon for your file.
2. Do not dispose of materials until one copy is returned to your agency signed by the Chairman of the State Records Commission, in compliance with 44 Ill. Adm. code 4400.40.
I hereby certify that in compliance with the above authorization no.(s) _____ received from the State Records Commission, the records listed above will be disposed of on or after ______________.
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Signautre |
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Title |
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APPROVED: |
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Chairman, State Records Commission Director, Illinois State Archives |
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(Source: Added at 13 Ill. Reg. 7444, effective May 1, 1989)