STATE OF WEST VIRGINIA

Records Transmittal 1. 3. 5. 7. 8. 9. 10. 11. 12. Date Submitted___/___/___

County 2. Office Shipment prepared by 4. Phone: Schedule used 6. Series Number Record Title Record Group Records Are Permanent Accession No. Records Are Reformatted in cubic feet Total Volume of Shipment To be completed by State Archives staff Restrictions on access to records No____Yes___ (If yes, authority by which record is restricted____________________) Format of records: Paper______ Book (s) _______ Microfilm______ Computer disk/tape ______ CD/Optical Disk _______ Other (describe)_________________ Other information useful to describe this shipment:

Box/Book Number

Location

Contents

Date Span

Date Relocated To State Archives