University Archives
Minnesota State University Moorhead

Report of Destroyed Records Form

Please submit this report after destroying University records and return it to University Archives, Livingston Lord Library, 4^th Floor, Room 409.  All University records must be scheduled or approved for destruction before they are destroyed.  Call 477-2346 if you have any questions.

Department:                                                                                     Name:

Phone Number:                                                                                 Date:

The following records for the above listed department were destroyed:

Description                                                                             Dates                          Cubic Feet

NOTE:  An ordinary file drawer of material is 2 cubic feet of material.  Estimate accordingly.

Signature: