ORDER OF TARGETSTO BE SCANNED
START
* CONTINUED FROM PRECEDING ROLL *
SCAN TEST TARGET
SCANNER NUMBER, ROLL NUMBER, SERIES NUMBER
WORK ORDER
SERIES TITLE
CLASSIFICATION
AGENCY CERTIFICATION
OPERATOR CERTIFICATE
DOCUMENT(S)
OPERATOR CERTIFICATE
AGENCY CERTIFICATION
CLASSIFICATION
SERIES TITLE
WORK ORDER
SCANNER NUMBER, ROLL NUMBER, SERIES NUMBER
SCAN TEST TARGET
* CONTINUED ON NEXT ROLL *
END OF ROLL, PLEASE REWIND
START
CONTINUED
FROM
PRECEDING
ROLL
SCANNER # ______
MAKE – NAME ______
MODEL______
ROLL # ______
SERIES # ______
PPI (300 PPI MINIMUM) ______
FORMAT ______
TIFF OR PDF
IMAGE ______
GRAYSCALE OR BLACK AND WHITE
SCANNED @ 100%
This page to be the Work Order obtained from the State Archives.
SAMPLE
Micrographics Work Order
Work Order Number: 17170
Department of Administrative Services.
Division of Archives and Records Service
Agency Contact:
Records Analyst: Maren Jeppsen, 801-531-3860
Date of Order: 10/25/2002
Paper: Retain in State Archives permanently.
Title: Oaths of office
Dates Being Filmed: 1992-1997
Arrangement: chronological by year, thereunder alphabetical by surname
Primary Classification is public.
Filming Instructions:
Camera / Scanner No: 26202
Filmed by: Archives and Records Service.
Paper Size: Various.
Film Size: 16mm. Image: Comic.
Special Instructions:
Film oaths 1992 -1997. Resume filming with box 11, folder 35. End with
box 13. Deliver diazos to Glen Fairclough.
Prints: none to agency; 1 Diazo to Reference.
Microfilm master: Retain in State Archives permanently.
RECORD
SERIES TITLE
PUBLIC
PRIVATE
PROTECTED
CONTINUED
ON NEXT ROLL
ENDOF ROLL
PLEASE
REWIND
State of Utah
MICROFILM CERTIFICATION
(Government Entity)
______
(Record Series Title)
These records are microfilmed under the authority of the
Public Records Management Act.
Utah Code Title 63A, Chapter 12, 106 (2008)
I, ______, do hereby certify that
(Official Custodian)
these records are the actual records of ______,
(Government Entity)
created during its normal course of business.
______
(Signature of Official Records Custodian) (date)
______
(Title) (Government Entity)
STATE OF UTAH
CERTIFICATE OF
SCANNING OPERATOR
SCANNER #: ______
AGENCY TITLE: ______
ROLL #: ______
SERIES #: ______
TITLE OF RECORD: ______
Start: ______
End: ______
I hereby certify that the document(s) represented by the scanned images appearing in this file and on the final roll of film were scanned by the undersigned and that the specified standards on target #3 were followed.
Date: ______
SCANNING OPERATOR: ______
(Print)
SCANNING OPERATOR: ______
(Signature)