NEW CALEDONIA COMMUNITY ARCHIVES

SEPARATION SHEET

TO BE FILED IN PLACE OF ITEM IN ORIGINAL CONTAINER

Accession Number:_______________ Separation Date:______________

Accession Title:_______________________________________________

Type of item (document, photograph, map, artifact, etc.) :

_______________________________________________________________

_______________________________________________________________

Description of item:

Item originally filed in (name and code number of collection, series, file, etc.) :__________________________________________

_______________________________________________________________

Item now filed with (photograph storage, map case, special display, etc.) :_______________________________________________

_______________________________________________________________

Archivist:_____________________________________________________