Form Rc-3 Certificate Of Records Disposal - Ohio Historical Society Page 3

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Page
of _____
Ohio Historical Society
State Archives of Ohio
Local Government Records Program
th
800 E. 17
Avenue
Columbus, Ohio 43211-2497
CERTIFICATE OF RECORDS DISPOSAL (RC-3) – Part 2
See instructions before completing this form. Must be submitted with PART 1.
(political subdivision name)
(unit)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Records Series Title
Authorization for Disposal
Media Type
Media Type
Inclusive Dates of
Proposed date of
For OHS-LGRP
To be destroyed
To be retained
Records
destruction
use
Schedule
Date the RC-2 was
(if any)
From
To
Number
approved by the
(15 business days
Records
from receipt by
Commission
OHS-LGRP)
Form: SAO/LGRP-RC3 (part 1), Revised July 2011

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