For Office Only
Record Group _____________
Sub-Record Group _________
Accession No. _____________
Date of Receipt____________
Processed By______________
Indicate the type and quantity of documents transferred:
_______ papers in folders (how many folders?)
_______ photographs or film
_______ audio and video recordings
_______ publications
_______ other (specify) _________________________
List folder titles with inclusive dates (as in ``Committee Correspondence, 1998-99''). List other materials by title or description as necessary. You may wish to send copies of this form to your successor and others inheriting your active files, thus clarifying where non-current files are located (indicate persons below).
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
(continue on another sheet)
Name (print)____________________________________________________________
MOUG position(s)_________________________________Year(s)________________
Address ________________________________________________________________
Email__________________________________________________________________
Telephone (work) ___________________________(home)______________________
Signature __________________________________ Date ________________________
Please enclose this form with materials and send to: Bonnie Jo Dopp, Curator / MOUG Archives / Performing Arts Library / 2511 Clarice Smith Performing Arts Center / University of Maryland / College Park, MD 20742-1630 / bd55@umaile.umd.edu