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Minnesota Historical Society <br />Division of Library and Archives <br />1500 Mississippi Street <br />St. Paul, MN 55101 <br />612- 296 -6980 1- 800 -652 -9747 <br />NOTIFICATION OF ADOPTION <br />OF <br />CITY GENERAL RETENTION SCHEDULE <br />1. Complete this form and send the original and 2 copies to the Government Records Archivist at the above address. <br />2. Destruction of records according to the general schedule is NOT permitted until this form is signed by the <br />Minnesota Historical Society. <br />City <br />Telephone (include area code) <br />Street Address <br />City, Zip Code <br />This is notify the Minnesota Historical Society that the city named above <br />has officially adopted the Minnesota City General Records Retention Schedule <br />(revised November, 1985). Cities are advised to adopt the entire schedule. <br />If this is not possible, individual sections may be adopted. ( "X" the <br />appropriate items.) <br />❑ The City Adopts the Entire Schedule. <br />Q The City Adopts Only the Following Sections: <br />❑ Administration <br />❑ Assessing <br />[Attorney <br />['Bonds <br />❑ Building Inspections <br />❑ Cemetery <br />❑ Contracts <br />❑ Courts <br />❑ Elections <br />❑ Financial /Accounting <br />❑ Insurance <br />❑ Library <br />❑ Liquor Store <br />❑ Parks and Recreation <br />❑ Payroll <br />❑ Permits and Licenses <br />❑ Personnel <br />❑ Planning and Zoning <br />❑ Public Safety /Police and Fire Dept. <br />❑ Public Works and Engineering <br />❑ Utilities <br />Vital Statistics <br />Name /Title of City Official (print) <br />Signature of City Official <br />Date <br />DLA 9/88 <br />The Minnesota Historical Society <br />acknowledges your Notification of <br />Adoption of the City General Retention <br />Schedule. You are authorized to <br />retain and dispose of records as <br />indicated on the Schedule. <br />Director or Designee, Minnesota Historical Society Date <br />Page 33 <br />