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ARS Form 20-11 (61) <br />' MtiNNESOTA STATE ARCHIVES AND RECORDS SERVICE <br />117 University Avenue, St. Paul 1, Minnesota <br />APPLICATION FOR AUTHORITY TO DESTROY PUBLIC RECORDS <br />1. TO: Minnesota State Archives Commission <br />2. FROM: LI u iriti4tota VILLLACtla CL1.44166, t TA414,6ththti <br />Department or agency Division or section <br />3. Space occupied by records: 6 cubic feet approximately. LI NO <br />4. Location of records: iiio.iiktito Lilo. 7094, J,„,, u u „at; , LU(k <br />5. Laws other than M.S. 138.17 which relate to the destruction or safekeeping of the <br />records: s . i . 412.441 <br />6. I certify that the records listed in this application are accurately described, and that <br />they have no further adminis rative, legal o scal value for this agency. <br />Department head or authorize/i signed re <br />/r <br />Under authority of Minnesota Statutes, Section 138.17, it is hereby ordered that the <br />records listed in this application be destroyed. <br />ec <br />Cp41'mmissi n of ministration <br />State rchives Commission <br />Date <br />DO NOT USE THIS SPACE <br />Application No. .z — C , <br />Date received: <br />The records listed in the application are not <br />nee d for post audit purposes. <br />Public Examiner Dept. Date <br />APPROVALS: <br />lic a finer <br />Attorney General <br />rr <br />St <br />Director, Minnesota His orical S <br />3 -a <br />Date <br />�1 l�bL <br />•ate <br />d4. J•4t <br />ate <br />DO NOT USE THIS SPACE <br />ADDENDUM: <br />The agency of origin has certified that the records described on this <br />form have ceased to have sufficient value to warrant further retention. <br />The records for which disposal authority is requested do not have <br />sufficient value for historical or other reearch, functional doc iienta— <br />tion, or the protection of individual rights to warrant permanent <br />retention by the State of Minnesota. <br />I reeot end the approval of this request, and the disposal of the <br />records by sale for salvage. <br />Franklin W. Burch <br />State Archivist and <br />Records Administrator <br />June 2, 1966 <br />• <br />Prepare in quadruplicate. Complete items 2, 3, 4, 5 and 6, and list records to be destroyed on reverse side of this sheet. If additional <br />space is needed, use ARS Form 20-12 (61) continuation sheets. Submit original and 2 copies to the State Archives and Records Service, <br />117 University Avenue, St. Paul 1, Minnesota. Retain one copy until approved copy is returned to you. <br />