AGENCY: Department of Health. Medical Assistance Program

SERIES: 7868
TITLE: Inter-departmental transfer
DATES: 1984-1985.
ARRANGEMENT: None

DESCRIPTION: This is a request by the agency for a transfer of supplies from Central Stores. It includes date of the request; the low organizational and account numbers of the requester; the name, department, division, bureau, address, and telephone number of the requester; and a list of the items requested giving the item number, quantity, type of unit package (bottles, packages, etc.); a description of the items; a verification that the items were received; the name and signature of the individual filling the order and the date it was filled; the signature of the individual picking up the order; and the date the order was received.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Paper: Retain in Office for 6 months and then destroy.

APPRAISAL

Administrative

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