(place this sheet in the location that an item is moved from)
1000 RIM DR., DURANGO, CO
81301TELEPHONE 970/247-7456
From Collection
Number: __ ____
From Collection
Title: ___________________________________
Type
of item (document, photograph, map, artifact, etc.):
Description
of item (including amount, size, and physical and content
description):
Item
was originally filed in (collection, series, folder number and
title, etc.):
Item
is now filed in:
Collection
Number: __ ____
Collection
Title: ___________________________________
Signed:
_________________________________ Date:
__________
SW-65
Page revised: November 16, 2004