Orange County NC Website
Browse       Search
Reproduce this form as needed. <br />North Carolina Department of Cultural Resources <br />Division of Historical Resources <br />Government Records Branch <br />REQUEST FOR DISPOSAL OF UNSCHEDULED RECORDS <br />TO Assistant Records Administrator <br />N.C. Division of Historical Resources <br />Government Records Branch <br />4615 Mail Service Center <br />Raleigh, NC 27699-4615 <br />FROM Name <br />r`„ .,+~, <br />Agency or department <br />Phone number <br />In accordance with the provisions of G.S. 121 and 132, approval is requested for the destruction of records listed below. These records <br />have no further use or value for official or administrative purposes. <br />RECORDS TITLE DESCRIPTION INCLUSIVE QUANTITY MICROPILAIED? RETENTION <br />DATES (YES OR NO) PERIOD <br />Requested by: <br />Signature <br />Approved by: <br />Signature <br />Concurred by: <br />(as indicated) Signature <br />Title <br />Head of Governing Board Date <br />Assistant Records Administrator Date <br />NC Division of Historical Resources <br />Date <br />93 <br />