Records Destruction Certificate Instructions

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					Commonwealth of Virginia                                                                 Certificate of Records Destruction                                                                                          (Form RM-3 Nov 99)




Records Management and Imaging Services Division
800 East Broad Street, Richmond, VA 23219-8000
(804) 692-3600
           This form documents the destruction of public records in accordance with the Virginia Public Records Act, ' 42.1-86.1 of the Code of Virginia.                                        INSTRUCTIONS ON BACK.

 1) Agency / Locality Christopher Newport University                                                                      2) Division / Department / Section                  Smith Department of Records
 4. ADDRESS:
                                                                                                                                                                                                                   5) Phone No.
 3) Person Completing Form                    John Smith                                                                  4) Address 1 University Pl. Newport News, VA 23606
    4. ADDRESS:                                                                                                                                                                                                    757-594-4111

                                                                                                6) Records to Be Destroyed
 a) Schedule and                          b) Records Series Title                                                         c) Date Range (mo/yr)                  d) Location               e) Volume               f) Method of
    Records Series No.                                                                                                                                                                                                Destruction
         GS 102-012082                    ACCOUNTS PAYABLE: AP VOUCHERS                                                            01/02-02/02                   W02OR11
                                                                                                                                                                                                 1 cu ft                   BURN
         GS 102-012082                    ACCOUNTS PAYABLE: AP VOUCHERS                                                               04/2002
                                                                                                                                                                 W02OR13                         1 cu ft                   BURN
         GS 102-012089                    BANK RECORDS ALL OTHER BANK RECORDS:                                                        06/2002                    W02OR17
                                          OUTSTANDING CHECKS, BATCH LOG CONTROL                                                                                                                  1 cu ft                   BURN
         GS 111-101103                    CAREER PLACEMENT: ON CAMPUS VISITS                                                           5/2002                    Warehouse
                                                                                                                                                                                                 2 cu ft                   BURN
         GS 111-101176                    STUDENT AFFAIRS: STUDENT HEARINQS                                                         2002-2003                    Office Filing
                                                                                                                                                                 Cabinet                         5 cu ft                  SHRED

         GS111-101124                     HOUSING: DORM DAMAGE RECORDS                                                                  2002                     Office Filing
                                                                                                                                                                 Cabinet                         .5 cu ft                 SHRED


TRUCTION APPROVALS
NOTE: Public records may not be destroyed without receiving prior approval from your agency or locality Records Officer.
We certify that the records listed above have been retained for the scheduled retention period, required audits have been completed, and no pending or ongoing litigation or investigation involving these records is known to exist.

7.      Jane Doe          ______                                                                                                              ______________             ____1/10/2003_____________________________
     APPROVING OFFICIAL (PRINT NAME)                                                                       SIGNATURE                                                               DATE

8.
     DESIGNATED RECORDS OFFICER (PRINT NAME)                                                                     SIGNATURE                                                                    DATE

9.   RECORDS DESTROYED BY:
                                               NAME (PRINT OR SIGNATURE)                                                                                                                      DATE OF DESTRUCTION

				
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