Fillable Form LS51807R10-14: TRANSMITTAL/RECEIPT TO THE FLORIDA STATE ARCHIVES (Florida Division of Corporations)

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Form LS51807R10-14: TRANSMITTAL/RECEIPT TO THE FLORIDA STATE ARCHIVES (Florida Division of Corporations)

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FLORIDA DEPARTMENT OF STATE
Division of Library
And Information Services
Form LS51807R10-14
TRANSMITTAL/RECEIPT
TRANSFER OF PUBLIC RECORDS
TO THE
FLORIDA STATE ARCHIVES
1. Record Group
Series No.
2. Agency:
3. Division:
4. Bureau:
5. Address:
6. Contact Name:
Telephone Number:
Email Address:
7. Start Date:
End Date:
8. Record Series Title:
9. Schedule & Item Number:
10. Description:
11. Form of Storage (container type and number):
cartons
transfer files
bound volumes
file drawers
loose papers
other
12. Type of Record (check each type that applies):
paper originals
photographs/negatives
data discs audio/video tapes
printed matter
microfilm/fiche
audio/video discs
other
maps, blueprints
motion picture film
data tapes
13. Physical Condition of Records:
14. Restrictions on Use (cite applicable statute):
15. The above-described public records are transferred to the custody of the Division of Library and Information Services (Florida State
Archives) in accordance with the conditions shown on the reverse of this Transmittal/Receipt. (Section 257.35(2) F.S.)
15a. Transmitting Agency:
I authorize the transfer of the records herein described.
____________________________________________________
Signature Date
____________________________________________________
Type Name and Title Date
15b. FLORIDA STATE ARCHIVES:
I accept custody of the records herein described.
__________________________________________________
Division Director Date
_____________________________________________
State Archivist Date
Form LS51807R10-14
CONDITIONS OF TRANSFER OF CUSTODY
OF PUBLIC RECORDS TO FLORIDA STATE ARCHIVES
The public records described on the reverse of this form are transferred to the custody of the Division of
Library and Information Services, Department of State, for preservation and public accessibility by the Florida State
Archives. The following conditions apply to the transfer:
1. Title to the records shall be vested in the Division of Library and Information Services. (Section
257.35(3), F.S.)
2. The records shall be open to inspection and examination by the public unless prohibited by law. (Section
119.07, F.S.)
3. Records transferred to the Archives shall not be removed from the Archives unless a recommendation for
disposition of this accession is made as a result of archival re-evaluation. Such disposition will be made only after
prior approval of the transferring agency and with the written authorization of the Director of Library and
Information Services, in accordance with the disposition provisions and procedures covered by Chapter 257, Florida
Statutes.
4. The Florida State Archives shall house and maintain the records according to accepted archival
principles and procedures to ensure both preservation and accessibility to researchers.
5. Researchers using the materials will be supplied copies, upon request, of any items from the records, in
accordance with the policies of the Florida State Archives, unless such photocopying or other reproduction is
specifically prohibited by law or would be detrimental to the records.
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Form LS51807R10-14: TRANSMITTALRECEIPT TO THE FLORIDA STATE ARCHIVES (Florida Division of Corporations)

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Completed 30 July 2020

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