EDIT RECORDS TRANSFER AND RECEIPT
CITY OF ATLANTA
DEPARTMENT OF ADMINISTRATIVE SERVICES
BEREAU OF GENERAL SERVICES
RECORDS MANAGEMENT DIVISION
TR number
1. Ship To
Answer Yes/No
:
Microfilm
Storage
3. From: (Name and Address of Agency Transforming Rec.)
Agency Name:
Address:
City:
State:
Zip:
2. Transferring Agency/ R.O
Date Sign
4. Transferring Records Custodian(Name & Phone No.)
Phone No.
Cite Security Classification:
Building/Room No. :
/
Series Title(As shown on Records Retention Schedule):
Retention Schedule Number and disposition Instructions
Attach File:
(Use Advanced Edit to attach file.)
Cubic Feet Received:
Records Received By:
Received Date:
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