AGENCY: Davis County (Utah). Health Department. Administration Division

SERIES: 10649
TITLE: Detail collection and reimbursement report
DATES: undated.
ARRANGEMENT: None

DESCRIPTION: This is a monthly statement sent to the Department of Health reporting the amount of fees collected by the local health departments from patients or clients on state contracts. This statement includes the local health department name, month, the allocation of collections by contract or program type, the type of collection (vital statistics, patient fees, etc.), the amount of the collections, and the total amount collected.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is authorized by Archives general schedule Expenditures summary statement, GRS-555

AUTHORIZED: 12/15/2010

FORMAT MANAGEMENT

Paper: Retain in Office for 3 years or until state health department audit and then destroy.

APPRAISAL

PRIMARY DESIGNATION

Public

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