RECORDS TRANSFER AND RECEIPT

CITY OF ATLANTA

DEPARTMENT OF ADMINISTRATIVE SERVICES

BUREAU OF GENERAL SERVICES

RECORDS MANAGEMENT DIVISION

SUITE 3109

675 PONCE DE LEON

ATLANTA, GEORGIA 30308

1. Check one

Microfilm

Storage

FOR RECORDS MANAGEMENT DIVISION USE ONLY

3. From: (Name & Address of Agency Transferring Records)

2. Transferring Agency / R. O. (Signature & Date)

4. Transferring Records Custodian (Name & Phone No.)

5. Cite Security Classification

6. (Building & Room Number (Where Records are kept)

7. Series Title (As shown on Records Retention Schedule)

8. Retention Schedule and disposition instructions

9. Box / Batch/ Roll Film No.

10. RMD USE ONLY

11. List of Contents & Dates

Location

Number	Box

Type	Review

Code

12. Cubic Feet Received

13. Records Received by: (Signature & Date)
FORM ARM-3 (JANUARY 1996)

RECORDS TRANSFER AND RECEIPT (Continuation)

Page _________ of __________Pages

CITY OF ATLANTA

DEPARTMENT OF ADMINISTRATIVE SERVICES

BUREAU OF GENERAL SERVICES

RECORDS MANAGEMENT DIVISION

SUITE 3109

675 PONCE DE LEON

ATLANTA, GEORGIA 30308

3. (Name of Dept / Bureau / Office

Transferring Records)

FOR RECORDS MANAGEMENT DIVISION USE ONLY

7. Series Title (As shown on Records Retention Schedule)

8. Retention Schedule and disposition instructions

9. Box / Batch/ Roll Film No.

10. RMD USE ONLY

11. List of Contents & Dates

Location

Number	Box

Type	Review

Code

FORM ARM-4 (JANUARY 1996)

RECORDS TRANSFER AND RECEIPT

AJordan

2004-12-16

Ned Cole

OMC