Form 49116 - Condition Report - Indiana Commission On Public Records Conservation Division Page 2

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RECOMMENDATIONS
TREATMENTS / EXAMINATIONS
ROUTING
Date (month, day, year)
Received in Conservation Lab by:
Date (month, day, year)
Received in Micrographics by:
Film verified by
Accepted
Rejected as noted under examinations
Date (month, day, year)
Date (month, day, year)
Received in Conservation Lab by:
Received in Archives by:
Date (month, day, year)
Date (month, day, year)
By request of:
Additional routing to:
Date (month, day, year)
By request of:
Additional routing to:

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