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<td colspan="9"><h1 id="records-transmittal-and-receipt">RECORDS
TRANSMITTAL AND RECEIPT</h1></td>
<td colspan="8"><p>Complete and send original and one copy of this form
to the appropriate Federal Records</p>
<p>Center for approval prior to shipment of records. See specific
instructions on reverse.</p></td>
<td><p>PAGE</p>
<p><strong>1</strong></p></td>
<td colspan="4"><p>OF</p>
<p>      PAGES</p></td>
</tr>
<tr class="even">
<td rowspan="3">1</td>
<td colspan="3" rowspan="3">TO</td>
<td colspan="7">(<a
href="http://www.archives.gov/records_center_program/facilities.html">Complete
the address for the records center serving your area</a> <em>as shown in
36 CFR 1228.150.)</em></td>
<td colspan="11">5 FROM (<em>Enter the name and complete mailing address
of the office retiring the records. The signed receipt of this form will
be sent to this address.)</em></td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="2"><h5 id="section"></h5></td>
<td colspan="5"><p id="federal-records-center" class="heading">Federal
Records Center</p></td>
<td colspan="3" rowspan="2"></td>
<td colspan="5" rowspan="2"></td>
<td colspan="3" rowspan="2"></td>
</tr>
<tr class="even">
<td colspan="5"><p>     </p>
<p>     </p>
<p>     </p></td>
</tr>
<tr class="odd">
<td>2</td>
<td colspan="3"><p>AGENCY TRANSFER AUTHOR-</p>
<p>IZATION</p></td>
<td colspan="6"><p>TRANSFERRING AGENCY OFFICIAL <em>(signature and
title)</em></p>
<p>     </p></td>
<td><p>DATE</p>
<p>     </p></td>
<td colspan="3" rowspan="2"></td>
<td colspan="5" rowspan="2"><p>     </p>
<p>     </p>
<p>     </p>
<p>     </p>
<p>     </p></td>
<td colspan="3" rowspan="2"></td>
</tr>
<tr class="even">
<td>3</td>
<td colspan="3">AGENCY CONTACT</td>
<td colspan="7"><p>TRANSFERRING AGENCY LIAISON OFFICIAL (<em>Name,
office and telephone No)</em></p>
<p>     </p></td>
</tr>
<tr class="odd">
<td>4</td>
<td colspan="3">RECORDS CENTER RECEIPT</td>
<td colspan="6"><p>RECORDS RECEIVED BY (<em>Signature and
Title)</em></p>
<p>     </p></td>
<td><p>DATE</p>
<p>     </p></td>
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="3"><h3 id="section-1"></h3>
<h3 id="fold-line">Fold Line </h3></td>
</tr>
<tr class="even">
<td>6</td>
<td colspan="21"><h4 id="records-data">RECORDS DATA</h4></td>
</tr>
<tr class="odd">
<td colspan="5">ACCESSION NUMBER</td>
<td colspan="2" rowspan="2"><p>VOLUME</p>
<p><em>(cu. ft.)</em></p></td>
<td rowspan="2">AGENCY BOX NUMBERS</td>
<td colspan="4" rowspan="2"><p>SERIES DESCRIPTION</p>
<p><em>(with inclusive dates of records)</em></p></td>
<td rowspan="2"><blockquote>
<p><span class="smallcaps">Restric-tion</span></p>
</blockquote></td>
<td colspan="2" rowspan="2"><p>DISPOSAL AUTHORITY</p>
<p><em>(schedule and item number)</em></p></td>
<td rowspan="2">DISPOSAL DATE</td>
<td colspan="6">COMPLETED BY RECORDS CENTER</td>
</tr>
<tr class="even">
<td colspan="2">RG</td>
<td>FY</td>
<td colspan="2">NUMBER</td>
<td colspan="2">LOCATION</td>
<td colspan="2"><blockquote>
<p><span class="smallcaps">shelf plan</span></p>
</blockquote></td>
<td><blockquote>
<p><span class="smallcaps">cont.type</span></p>
</blockquote></td>
<td><blockquote>
<p><span class="smallcaps">auto.</span></p>
<p><span class="smallcaps">disp.</span></p>
</blockquote></td>
</tr>
<tr class="odd">
<td colspan="2"><em>(a)</em></td>
<td><em>(b)</em></td>
<td colspan="2"><em>(c)</em></td>
<td colspan="2"><em>(d)</em></td>
<td><em>(e)</em></td>
<td colspan="4"><em>(f)</em></td>
<td><em>(g)</em></td>
<td colspan="2"><em>(h)</em></td>
<td><em>(i)</em></td>
<td colspan="2"><em>(j)</em></td>
<td colspan="2"><em>(k)</em></td>
<td><em>(l)</em></td>
<td><em>(m)</em></td>
</tr>
<tr class="even">
<td colspan="2">   </td>
<td>   </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td colspan="4">     </td>
<td> </td>
<td colspan="2">     </td>
<td>     </td>
<td colspan="2">     </td>
<td colspan="2"> </td>
<td> </td>
<td>   </td>
</tr>
<tr class="odd">
<td colspan="7"><span class="smallcaps">nsn 7540-00-634-4093</span></td>
<td colspan="9">135-107</td>
<td colspan="6"><p>Standard Form 135 (Rev. 7-85) Facs</p>
<p>Prescribed by NARA</p>
<p>36 CFR 1228.152</p></td>
</tr>
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</table>