Narrator (Informant) ____________________________________________________
Address_______________________________________________________________
Interviewer___________________________________________________________
Address_______________________________________________________________
Date of Interview________________________________
Place of Interview_______________________________________________________
Length of Interview_________________ Number of Cassettes or Discs____________
Oral History Donor Form Signed _________________(Date)
Unrestricted ___
Restricted ___
Transcript ____Yes ____No
Reviewed by Narrator
Yes ______________(Date) No___
Abstract of Interview: