Agency

	Schedule or RDA #	Series #	
Division or Section

	Date Span	Accession #

	
Title of Records

These Records are scheduled to be
destroyed on

	Carton #	Location:   (Records Center Use)

Row   ______________   Tier   _______
	
Records Center Storage Carton Label
		RMD Form 3	

Agency

	Schedule or RDA #	Series #	
Division or Section

	Date Span	Accession #

	
Title of Records

These Records are scheduled to be
destroyed on

	Carton #	Location:   (Records Center Use)

Row   ______________   Tier   _______
	
Records Center Storage Carton Label
		RMD Form 3	

Agency

	Schedule or RDA #	Series #	
Division or Section

	Date Span	Accession #

	
Title of Records

These Records are scheduled to be
destroyed on

	Carton #	Location:   (Records Center Use)

Row   ______________   Tier   _______
	
Records Center Storage Carton Label
		RMD Form 3	

Agency

	Schedule or RDA #	Series #	
Division or Section

	Date Span	Accession #

	
Title of Records

These Records are scheduled to be
destroyed on

	Carton #	Location:   (Records Center Use)

Row   ______________   Tier   _______
	
Records Center Storage Carton Label
		RMD Form 3