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Agency Schedule Detail

Authorization Number :  50580099
Agency Series No. :  OTC-500-92
Status :  Active
Agency Web Link : 
Agency :  OTC
Confidential Description : 
Division :  OTC0500
Vital Description : 
Section :  OTC0500
Record Title :  Input Form For Write-Offs - Ambulance
Revision :  0
Record Description :  Form used to input write offs of ambulance claims.
Retention Period Retention Justification Media Code Method of Disposal
No longer produced; discard immediately Paper Shred

Approvals

Status Name Title Date
Approved Jennifer Diaz Records Coordinator 5/3/2006 10:38:00 AM
Approved Noelle Tsevdos Records Officer 6/23/2006 3:09:00 PM
Approved Michael Hardenbrook Record Administrator 7/10/2006 9:27:00 AM
Approved Martin Meeks State Auditor 7/10/2006 12:43:00 PM
Approved Steve Gutgesell State Archivist 7/19/2006 1:34:00 PM

Notes

Date Reason User

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