AGENCY: Department of Health. Community Health Service

SERIES: 17089
TITLE: Application for certificate purchase
DATES: undated.
ARRANGEMENT: None

DESCRIPTION: This is an application submitted by an inspection station owner to purchase from the state certificates of inspection as required by UCA 41-6-6(3). This includes the name, station number, and telephone number of the inspection station; the names of the owner, manager, and purchaser; the purchaser's association with the station; the purchaser's address and telephone number; the number of compliance and waiver certificates requested; a record of the confirmation of the order; the amount of money received;and the number of certificates issued.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 03/1987

FORMAT MANAGEMENT

Paper: Retain in Office for 2 years and then transfer to State Records Center. Retain in State Records Center for 1 year and then destroy.

APPRAISAL

According to UCA 76-8-504, any person making a false statement knowingly is guilty of a class B misdemeanor. Although the statute of limitations for a misdemeanor is two years, a three year retention is recommended because the application contains financial information that may be needed in an audit. Therefore, the longer audit period was chosen.

PRIMARY DESIGNATION

Private

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