State Form 53485 "Request for New Boxes and Lids" - Indiana

What Is State Form 53485?

This is a legal form that was released by the Indiana Archives and Records Administration - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2015;
  • The latest edition provided by the Indiana Archives and Records Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of State Form 53485 by clicking the link below or browse more documents and templates provided by the Indiana Archives and Records Administration.

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Download State Form 53485 "Request for New Boxes and Lids" - Indiana

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INDIANA ARCHIVES AND RECORDS ADMINISTRATION
INDIANA STATE RECORDS CENTER
REQUEST FOR NEW BOXES AND LIDS
6400 East 30th Street
State Form 53485 (R3 / 6-15)
Indianapolis, Indiana 46219
Telephone: (317) 591-5326
Fax: (317) 591-5328
E-mail: recordscenter@iara.in.gov
INSTRUCTIONS:
1. Use this request to order new Records Boxes and Lids (State Form 46634).
2. The Records Center will deliver box orders only within Marion county.
3. Retain a copy of this form for your records.
Name of requestor
Telephone number
Date ordered (month, day, year)
(
)
Name of agency / division
Project number
Activity number
Source number
Category number Sub-Category number Locality number
Business unit *
Fund *
Department *
Program number *
Quantity requested
Deliver to:
Comments
Authorized signature
Date (month, day, year)
Order filled by:
Date filled (month, day, year)
Date delivered (month, day, year)
Signature of agency representative
Date (month, day, year)
* Required field for Billing Purposes
DISTRIBUTION: (1) Records Center Office; (2) Skid / Agency; (3) Records Center with agency signature
Reset Form
INDIANA ARCHIVES AND RECORDS ADMINISTRATION
INDIANA STATE RECORDS CENTER
REQUEST FOR NEW BOXES AND LIDS
6400 East 30th Street
State Form 53485 (R3 / 6-15)
Indianapolis, Indiana 46219
Telephone: (317) 591-5326
Fax: (317) 591-5328
E-mail: recordscenter@iara.in.gov
INSTRUCTIONS:
1. Use this request to order new Records Boxes and Lids (State Form 46634).
2. The Records Center will deliver box orders only within Marion county.
3. Retain a copy of this form for your records.
Name of requestor
Telephone number
Date ordered (month, day, year)
(
)
Name of agency / division
Project number
Activity number
Source number
Category number Sub-Category number Locality number
Business unit *
Fund *
Department *
Program number *
Quantity requested
Deliver to:
Comments
Authorized signature
Date (month, day, year)
Order filled by:
Date filled (month, day, year)
Date delivered (month, day, year)
Signature of agency representative
Date (month, day, year)
* Required field for Billing Purposes
DISTRIBUTION: (1) Records Center Office; (2) Skid / Agency; (3) Records Center with agency signature