State Form 41139 - Notification Of Record Series Action - Indiana Commission On Public Records

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Agency name
NOTIFICATION OF RECORD SERIES ACTION
Indiana Commission on Public Records
Division name
Records Management Division
State Form 41139 (R / 12-98)
Date of previous OCPR approval(s)
INSTRUCTIONS: The items below appear on the attached retention schedule.
The retained items have been approved previously by the OCPR. Action is being
requested on the items in the AMENDED, DELETED and NEW columns.
AMENDED
DELETED
NEW
RETAINED
RECORD SERIES
ITEM NO.
RECORD SERIES
ITEM NO.
RECORD SERIES
ITEM NO.
RECORD SERIES
ITEM NO.
Name of Records Analyst
Date prepared
E-mail address
Telephone number

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