| Retention Period | Retention Justification | Media Code | Method of Disposal |
|---|---|---|---|
| Form is to be attached to the HP-70A or other statement form and assumes the same retention period. | Paper | Shred |
| Status | Name | Title | Date |
|---|---|---|---|
| Approved | Jeff Maute | Records Officer | 4/16/2003 11:22:00 AM |
| Approved | Michael Hardenbrook | Record Administrator | 4/21/2003 10:01:00 AM |
| Approved | Martin Meeks | State Auditor | 4/28/2003 5:08:00 PM |
| Approved | Charles Arp | State Archivist | 4/28/2003 5:08:00 PM |
| Date | Reason | User |
|---|