Inventory Sheets
Records Inventory Data V,! orlcsheet
See InstluCLl0l15 in PubliciJLion i/76, JnveJJwIY and PlanmJJg, before cornpJeung thiS rom!.
;OVERNMENTI AGENCY
lb. DEPARTMEN1iUNlT
LJa.
..
3.
4.
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ee^~,,,,;~
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5. ARRANGEMENT -,.,l,1..
o AJphabeLIcaJ ~mefjcal
o Chronological
o Alphanumeric
o Other (Specify):
6'l JENrJON
~Q[ scheduled 0 Permanem
~cheduled retention:
o Appraise for hiswrica) value
~()03
~yes
6b. SCHEDl.R.EAND ITEM NlllvlBER, ORREASON FOR PROP OSEDRETENTI ON
12.. 2~~
7. LOCATlON
C A (2.NW IT-r H-
8.
o Audiovisual
o Micrographic
o Electronic
T
9. QUl\NTITY (In cubic feet ornumber of items),
o Cubic feet:
o Items:
Type of items:
10. ANNUAl. ACCUMULATION (In cubic feet or number of jtems),
o Cubic feet:
o hems:
11 JlREQUENCY OF USE,
o Daily 0 Weekly
12 RES1RlC110NS ON USE
o Monthly
o Seldom
o Never
REr 1S ARE
13, . I POOR CONDITlON
14, \..rrAL (EssenLial to operations)
15 0 OFFlCIAL COPIES
168. NAME OF PERSON COJvlPLETING FORM
16b, DATE
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Records Inventory Data V\Torksheet
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4,
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5, ARRANGEMENT
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o Other (Specify);
6~ IENT1QN
: ~O[ scheduled 0 PermanenL 0 AppraIse for hJstof)cal value
~d"d"'ed""m'oo fD VIS 4~
6b. SCHEDill.E AND ITEM NUMBER, QR.REl\.SON .F~.RETENTION
*.merical
o Chronological
o Alphanumeric
7 LOCATION
\L.
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8. ri~T
~aper 0 Audiovisual 0 Micrographic
9 TOTl\L QUl\N11TY (In cubic feeL ornumber of ItemS),
o Electronic
o Cubic feel:
o Items:
Type of items:
10, ANNUAL ACCUMULATION (In cubic feel arnumber of items),
o Cubic feel:
o hems:
11. JTREQUENCY OF USE,
D Daily 0 Weekly
12 RESTRICTIONS ON USE
o Momhly
o Seldom
o Never
REl ) S Jill.E
13 , 1 POOR CONDITION
14, ~AL (Essemial to operations)
15, D OFFlCiAL COPIES
16a. NAME OF PERSON COMPLETING FORM
1Gb. DATE
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Records Inventory Data V\! orksheet
See instructions in Publicmion il76, )nvclJLwy and pjfJ(J{JJ{JY, iJefor8 completing thiS form.
,
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;OVERNMENT/AGENC'/ lb. DEPARTMENT/UNIT
"ss.nSTfT~ IJa.ppllljer
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3. DATE SP .
tJtL-k,,-1 S e tJe r
4.
(Describe comem Elnd characteristics of records)
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5, ARRANGEMENT
D Alphabetical ~umerical
D Other (Specify):
6~ 'TENTJON
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6b. SCHEDllLEAND ITEM NUMBER, OR.REASDNP~RE3'I!mf5N
D Chronological
D AJphanumeric
7.
8.
apeI' 0 Audiovisual D Micrographic
9. TOTAL QUANTITY (In cubiC feet or number of iwms I'
o Electronic
o Cubic feel:
D Items:
10. ANNlJALACCUMULATION (In cubic feel (}J' number of items),
o Cubic feel:
D hems:
11. EREQUENCY OF USE,
D Daily D Weekly
12 RESTRICTIONS ON USE
D Momh]y
o Seldom
REq )5 l\RE
13, I I POOR CONDITJON
14. ""'ITAL (Essential to operations)
15, 0 OFFlClAL COPIES
New York State hrchives
Type of items:
o Never
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GRS.2 (12/2002)
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Records Inventory Data V\! orlcshe et
See instructions in PublicrJLion 4/76, JnvelJwrv and PJfJnmny, before cornp]t;tinfj [I liS fornl.
lVERNMENTI AGENCY
of
lb. DEPARTMENT/LINlT
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er
I (,L
4,
(Describe contem ,md characteristics of records)
vi)
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STu6S
5, ARRANGEMENT ~,
o Alphabe[ical "umencal
o Chronological
o Alphanumeric
o Other (Specify):
6aw fENTJON
loc scheduled 0 PermanenL 0 Appraise for hisWf)cal value
~Cbeduled retention:
~ YR.S
6b SCHEDlll...E AND ITEM NUMBER, QR.REl\.SON FORPRDP o SED RETENTI ON
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7, LOCATION
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8.
o Electronic
o AudiOVisual 0 Micrographic
9 TOTl\L QU7\NTITY (In cubic feet ornumber of items),
o Cubic feet:
o Items:
10, ANNUAL ACCUMULATION (In cubic feet or number of items),
o Cubic feet:
o hems:
11 J1REQUBNCY OF USE,
o Daily 0 Weekly
12 RES1RlCTlONS ON USE
o Momhly
o Seldom
REi J5 ARE
13 ! ~ POOR CONDITJON
14. ~AL (Essenual to operauons)
15 0 OFFlClAL COPIES
16a. ]
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16b. DATE
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92-7D!J:l5 92-146 CDC
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eeards Inventory Data W orlcsheet
ruccions in Publication 1176, lnvenwry and Planning, before completing thiS form.
~\
GOVERNMENT/AGENCY
lb. DEPARTMENT/UNIT
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2. RECORDS SERIES TITI..E
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4. RECORDS SERIES DESCRIPTION (Describe content and characteristics of records)
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3. DA. TE SPAN
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5. ARRANGEMENT
o Alphabetical
1\." m 'C; co,
o Chronological
o Alphanumeric
o Other (Specify):
L~ ETENTION
.. NO( scheduled 0 Permanent
~d1eduled retemion:
IJ.. L~5"J
7. LOCATION
s
;;( 00 ~
o Appraise for historical value
6b. SCHEDULElI.ND ITEM NUMBER, ORREASON.FORPROPOSEDRETENTION
C.A R.t\l \'J ~t-l-
B. FO~T
~per 0 Audiovisual 0 Micrographic
9. TOTAL QUANTITY (In cubic feet ornumber of items),
o Electronic
o Cubic feet:
o Items:
Type of items:
10. ANNUAL ACCUMULATION (In cubic feet Ql'number of items),
o Cubic feet:
o Items:
11. FREQUENCY OF USE,
o Daily 0 Weekly
12. RES1RICTIONS ON USE
~nth]y
o Seldom
o Never
lDS ARE
INPOORCONDmON ~ a
VITAL (Essenlial to operations) LO cn.f>t.e..A-er 9 ~ t\: c:l
OFFlClAL COPIES
AME OF PERSON COMPLETING FORM 16b. DATE
C~ 4\ . e,~ W '('\
Records Inventory Data Worksheet
See Instructions jn PublicCltion 4/76, Invenw~JI and Planning, before completing this rorm.
-t:b2--
GOVERNMENT/AGENCY
lb. DEPARTMENTIUNIT
2.
4. RECO S SERIES DESCRIPTION (Describe content and characteristics of records)
lqq~
~~
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R/~iAJ6 KePdRT
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5. ARRANGEMENT
o Alphabetical
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o Chronological
o AJphanumeric
o Other (Specify):
~ EI'ENTION
l ] Not scheduled 0 Permanent
~ Scheduled retention:
o Appraise for histOrical value
'doo If
6b. SCHEDULE AND ITEM NUMBER, ORREASON.FORPROP 0 SED RETENTION
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7. LOCATION
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8.
o Electronic
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g. TOTAL QUl\NTITY (In cubic feet or number of items).
o Cubic feet:
o Items:
Type of items:
10. ANNUAL ACCUMULATION (In cubic feet 01' number of items),
o Cubic feet:
11. FREQUENCY OF USE,
o Daily 0 WeekJy
12. RESTRICTIONS ON USE
o Items:
~th]Y
o Seldom
o Never
I} \RDS J\RE
Ii I IN POOR CONDmON
1~ VITAL (Essential to operations)
15. OFFICIAL COPlES
16a NAlv1E OF PERSON COMPLEJING FORM
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I6b. DATE
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Records Inventory Data Worksheet
See instructions in PublicCILion 1/76, Jnvenwry and Planning, before completing thiS form.
1:t:.3
GOVERNMENT/AGENCY
lb. DEPARTMENTIUNIT
3. DA
(LS
SPKN
o~ f\ c)
2. RECORDS SERlES TITLE
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4. RECORDS SERIES DESCRIPTION (Describe content Clnd characteristics of records)
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15. ~OFFlClALCOPlES ... J
16a NAME OF PERSON COMPLETING FORM 16b. DATE
A. ~~oc)f"\
5. ARRANGEMENT
o Alphabetical ~umeflcal
o Other (Specify):
~ ETEN11pN
\-,.1 Nm scheduled 0 Permanent
~cheduled retention:
o Chronological
o Alphanumeric
o Appraise for historical value
6b. SCHEDULE AND ITEM NUMBER, ORREASONFORFROPOSEDRETENTION
I~. D510J
7. LOCATION
\f ILS
AlJU .,)A.-
B.
o Electronic
o Audiovisual 0 Micrographic
9. TOTALQUANT1TY (In cubic feet ornumber of items),
o Cubic feet:
o Items:
10. ANNUAL ACCUMULATION (In cubic feet arnumber of items),
o Cubicfeet:
o Items:
11. FREQUENCY OF USE,
o Daily 0 Weekly
12. RESTRICTIONS ON USE
o Monthly
..
".
..~~~
.~--
;Ao03
Type of items:
o Never
GRS-2 (1212002)
92.7DD25 92-106 CDC
#::4
Records Inventory Data Worksheet
See instructions in PublicCllion 1/76, inventory and PlanfJjng, before completing tbls form
GOVERNMENT/AGENCY
2.
3. D
lb. DEPARTMENT/UNIT
.
ON
:r~LS
4. RECORDS SERillS DESCRIPTION (Describe content and characteristics of records)
1 CjQ7 .
A-D'S (W}S 8lLt)
:5()U tiJ'lrl,S
6. ARRANGEMENT
o Alphabe[lcal 0 Numencal
o Other (Specify):
EfENTION
] NOt scheduled 0 Permanent
~heduled retention:
~~+-
~~rll>1\J
--s(lIVLS -I qq7
q7
0/5 H-OO): tJ ps
o Alphanumeric
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42S
I"l. . It,
7, LOCA nON
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8.
o Audiovisual 0 Micrographic
QUl\NTITY (In cubic feet or number of items).
g.
o Cubic feet:
o Items:
10. ANNUAL ACCUMULATION (In cubic [eet or number of items),
o Items:
o Cubicfeet:
11. FREQUENCY OF USE,
o Daily 0 Weekly
12, RESTRICTIONS ON USE
iill S ARE
IN POOR CONDmON
VITAL (Essential to operations)
OFFICiAL COPlES
16a NAME OF PERSON COMPLETING FORM
Co fl\ P t\..- -k. r
6b, SCHEDULE AND ITEM NUMBER, ORREASONFORPROPOSEDRETENTION
o Electronic
Type of items:
o Seldom
o Never
Cj e. t'\ e. ,.. c::L+e&
16b. DATE
Y\
--
GRS-2 (l2l2002)
92.7992592.1.6 CDC
:;OVERNMENT/AGENCY
lb. DEPARTMEN1f'[]NIT
LJ~L.
Records Inventory Data VV orJ.csheet
See instructions in Publication 1176, lnvemOIY cllJd Planning, before curnpletinf) tiJis ronTl.
u>e..r
,LA- S
~1lS I ;)000
4. RECORDS SERlESDESCRIPTION (Describe coment and characteristics of records)
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5, ARRANGEMENT
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6 STENTION
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~cheduled retention: "'f (l""S
o Appraise for historical value
6b. SCHEDULE AND ITEM NUMBER, ORREASON.FORPROPOSEDRETENTION
I)..
7. LOCATION
~AAl~~"'"
B. FORMAT
aper 0 Audiovisual 0 Micrographic
9. 0 QUl\NTITY (In cubic feet or number of items),
o Electronic
o Cubic feet:
o Items:
Type of items:
10. ANNUAL ACCUMULATION (In cubic feet 01' number of items),
o Cubic feet:
o Items:
11. .FREQUENCY OF USE,
o Daily 0 Weekly
12. RESlRICTIONS ON USE
o Momhly
o Seldom
o Never
RE' '-'DS ARE
t
13~. N POOR CONDITlON
14. VITAL (Essential La operations)
15. OFFICiAL COPIES
16a NAME OF PERSON COMPLETING FORM
u.)"
Dir
GRS-2 (12/2002)
92-7992592-'46 CDC
Records Inventory Data V\! orksheet
See JfIslruclions in Publicmionl/76, lnvemoIY and Plan(JlfIg, bel' ore completing lhis form.
#'q
:;OVERNMENT/ AGENCY
3, DATESPAN
lb, DEP ARTMENTIUNIT
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REC RDS SERIES TITLE
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6, ARRANGEMENT ~,
o Alphabetical r~merjcal
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6 Tf'ENTION
t,
f Nm scheduled 0 Permanent 0 Appraise for hiswrical value
~h'd""d "<en~ion, b Y lIS
o Chronological
o Alphanumeric
6b. SCHEDULE AND ITEM NUMBER, ORREASONFORPROPOSEDRETENTION
I ~. ~lo
7, LOCATION
,)wf'rTtt-
8.
o Electronic
o Audiovisual 0 Micrographic
g, TOTAL QUl\NTITY (In cubic feel or number of items),
o Cubic feel:
o Items:
Type of ilems:
10, ANNUAL ACCUMULATION (In cubic feel ornumber of items),
o Cubjc feel:
o Items:
11. FREQUENCY OF USE,
o Daily 0 Week])'
12, RESTRICTIONS ON USE
o Monthly
o Seldom
o Never
REi DS J\RE
!
13': N POOR CONDITION
14, \.....-rrr AL (Essemialw operations)
16, 0 OFFlCIAL COPIES
16a
16b, DATE
Records Inventory Data V\T orksheet
See Instructions in Publication 1/76, )nv{:nwry and Plannjng, before completing L/Jis form.
::;OVERNMENT! AGENCY
lb. DEP ARTMEN1YUNIT
r
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CG~~r- e,ti.clers
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~ STENTJON
~. Nm scheduled 0 Permanem 0 Appraise for historical value
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6b. SCHEDULE AND ITEM NUMBER, OR.REA.SONFORFROPOSEDRETENTION
,~. ~5tJ h
7. LOCATION
It N wrtT it-
o Electronic
8,
o Audiovisual 0 Micrographic
g, TOTl\L QUl\NTITY (In cubic feel or number of items),
o Cubic feel:
o Items:
Type of items:
10. ANNUAL ACCUMULATION (In cubic feet ill' number of items),
o Cubic feel:
o Items:
11. FREQUENCY OF USE,
o Daily 0 Weekly
]2. RESTRICTIONS ON USE
o Monthly
o Seldom
o Never
i'DSARE
13, . N POOR CONDITION
14. .... VITAL (EssemiaJ lO operations)
16, 0 OFFICIAL COPlES
16b. DATE
a~
ra CA\ n
GRS-2 (1212002)
92-7DD:.15 92-146 CDC
Records Inventory Data VV orksheet
See instructions in Publication 1/76, lnvenLOfY and PJannmy, belore completing this I ann.
GOVERNMENT/AGENCY
lb. DEPARTMENT/UNIT
.
~
3. DATESPAN
4.
t:1) BILL
A-8o\ie
STuBS
~+-~~
~\\
6. ARRANGEMENT Vt\l
o Alphabetical f\umerical
o Otber (Specify):
l STENTJON
r NO[ scheduled 0 Permanent 0 Appraise for hiswrical value
~h'd""d ,,"ntinn, to 'I t2S
o Chronological
o AJphanumeric
6b. SCHEDULEAND ITEM NUMBER, ORREA.SON.FORPRQPOSEDRETENTIDN
~S1oJ
7,
o Electronic
~.
8,
o Audiovisual 0 Micrographic
g, TOTAL QUANTITY (In cubic Jeet ornumber oj items),
o Cubic leet:
o Items:
Type of Items:
10. AJ'1NUALACCUMULATJON (In cubic feet or number of items),
o Cubic feet:
o Items:
11. JlREQUENCY OF USE,
o Daily 0 Weekly
12. RES1RJCTJONS ON USE
o Momhly
o Seldom
o Never
JU '.DS lIRE
131 [N POOR CONDITION
14\....VITAL (Essential lD operations)
16, 0 OFFICIAL COPIES
16b. DATE
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Records Inventory Data V\T orksheet
Sue JrIstl'uctions JrI Publicalion 1/76, JnVDnLwy [;Ind Planning, bDfortJ completing this foml.
GOVERNMENT! AGENCY
lb. DEPARTMEN1/UNIT
--
L
4, RECORDS SERlES DESCRIPTI
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5. ARRANGEMENT
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o Chronological
o Alphanumeric
o Other (Specify):
f E1ENTHDN
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~'h'd""d """',,, b V 12. S
6b. SCHEDULE AND ITEM NUMBER, QR.REASON.FORPROPOSEDRETENTION
A.
7. LOCATION
~J\.)
8. PORMA T
aper 0 Audiovisual 0 Micrographic
9. TOT QUl\NTITY (In cubic feet ornumber of j tems).
o Electronic
o Cubic feet:
o Items:
Type of items:
10. ANNUAL ACCUMULATION (In cubic feet Ql'number of items),
o Cubic feet:
o Items:
11. .EREQUENCY OF USE,
o Daily 0 Weekly
12. RESTRICTIONS ON USE
o Monthly
o Seldom
o Never
m 'illS ARE
l:i IN POOR CONDITION
14\...,. VJT At (Essential to operations)
15. 0 OFFlCIAL COPIES
16b. DATE
New
Records Inventory Data V\T orksheet
See InSl/'Ucuons in Publication 1/76, invenLOry and PJanfJinY, before cornpJelin,g chis forrn,
lb. DEPARTMENT/UNIT
2,
Po
001
~ool
4,
-=t=D
Wi-S BILL
S -ro BS
5, ARRANGEMENT
o AJphaberical
kmerical
o Chronological
o Alphanumeric
o Other (Specify):
6f, ITENTION
1. Nm scheduled 0 Permanem 0 Appraise for hiswrical value
~h'dUI'd "",,,,100. b 'I ~
6b, SCHEDULE AND ITEM NUMBER, ORREASONPORPROPOSEDRETENTION
I~. L-)SI.]
7, LOCATION
c..~".."
8, RMAT
Q. .
g,
o Elewonic
o Audiovisual 0 Micrographic
QU1\NI1TY (In cubic feel ornumber of items),
o Cubic feet:
o Items:
10, ANNUAL ACCUMULATION (In cubic feet ill' number of items),
o Cubic feet:
o Items:
11, FREQUENCY OF USE,
o Daily 0 Weekly
]2, RESTRICTIONS ON USE
o Monthly
o Seldom
i:" TIS ARE
13 ' J'1 POOR CONDITION
14, AL (Essential to operations)
15, 0 OFFICIAL COPIES
16a J
,
LL s.f.
~\?
Type of items:
o Never
16b. DATE
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RNMHNT/AGENCY obhe""o" 1/76)0 .' ata W orlcsh
, vt.lJwry alJd PI- eet
lb _ i1{J(J/flY, beror '
. DEPARTMENT/UNIT e cornpJeunfj dJl' 10
, 0 UT!
~91~
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~:s -- Iqq~
ARRANGEMENT
o Alphabetical
o Other (Specify):
I "ITENTJO~
~'; . Not scheduled 0
Permanent
Scheduled retention, 0 Appraise for hist '
6b SCHEDULE . "'I rl t' DO'" v,,'"
AND ITEM NUMB ~
1 ~ER, OR.RElI.SON.F
J... 1- S I bORPROPO SED RETENTI ON
LOCATION ~
~merical
o Chronological
o Alphanumeric
Type of items:
aper
OTAL 0 Audiovisual
QUANTITY (In cubiC fe . 0 Micrographic
Deb' ee ornumb f
u IC feeL: er o' items),
ANNUAL ACCUMULATIO 0 Items:
DC' N (In cubic feeL
UblC feel' ar number of ' .
, Items),
J7REQUENCY OF USE, 0 Items:
o DaiJy
RESTRl 0 VI! eekly
CTIONS ON USE 0 Momhly
o Electronic
o Seldom
o Never
Rfil,DS ARE
13 ,'.. ]\I PO
14, OR CONDITJON
15 VITAL (Essemial t
, 0 OFFlClAL COPIESo operations)
16a. NAl0E OF P
ERSON COMP
LETJNG FORM
16b, DATE
Records Inventory Data VV orksheet
See Instructions in Publicmion 1/76, lnvt:nLOf)' and PlannJfJY, befor8 cornpJelinfjthis form.
GOVERNMENT/AGENCY
lb, DEPARTMENT/UNIT
Se~r
(Describe contem and characteristics of records)
~((l\1.> us...,. ~O~
~II u~ ;J-l)Db
CuST ~~
5, ARRANGEMENT
o Alphabetical
~merjCal
o Chronological
o Alphanumeric
o Other (Specify):
~ ETENTJON
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QUl\NTITY (In cubic feet or number of items),
o Electronic
o Cubic feet:
o Items:
Type of items:
10, ANNUAL ACCUMULATION (In cubjc feet urnumber of items),
o Cubic feeL:
o Items:
11. .FREQUENCY OF USE,
o Daily 0 Weekly
12. RESTIUCTIONS ON USE
o Monthly
o Seldom
o Never
R4 'DS ARE
~
131' IN POOR CONDITION
14\...,.VITAL (Essentialw operations)
15. 0 OFFlCIAL caPJES
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GRS.2 (1212002)
92.79925 92.,Q6 coe
Records Inventory Data V,T orksheet
See instructions in Publication 1176, Jnventory and Planning, before completing tiJis form.
~OVERNMENT/AGENCY
lb. DEPARTMENT/UNIT
3.
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5. ARRANGEMENT
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q STENTJON
Noc scheduled 0 Permanem 0 Appraise for historical value
~h'dUI'd "',ntion, to 'I ItS
6b, SCHEDULE AND ITEM NUMBER, ORREl\SONPORPROPOSEDRETENTION
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o Alphanumeric
7.
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QUANTITY (In cubic feet or number of items),
o Electronic
8.
9.
o Cubic feet:
o Items:
Type of items:
10. ANNUAL ACCUMULATION (In cubic feet or number of items),
o Cubic feet:
o hems:
11. F.REQUENCY OF USE,
o Daily 0 Weekly
12. RESTRICTIONS ON USE
o Monthly
o Seldom
o Never
RE 'DS ARE
13.1 N POOR CONDITION
14.\..,...JITAL (Essential to operations)
15, 0 OFFICIAL COPIES
16b. DATE
New York S,
Records Inventory Data V\Torksheet
See instructions in Publication //76, JnvcnUlr)' [;Jud Planning, before completing this form.
GOVERNMENT/AGENCY
lb. DEPARTMENT/UNIT
Wtl.~r
a~ U-r-
~r I~e.we
~A-AJS S~JCJlS ~a:3 J
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4. RECORDS SERIES DESCRIPTION (Describe content and characteristics of records)
5. ARRANGEMENT
o AJphabetical
o Other (Specify):
~. 'ETENTJQN
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6b. SCHEDULE AND ITEM NUMBER, OR.REl\SONPQRPROPOSEDRETENTION
~merical
o Chronological
o Alphanumeric
b
8.
g.
o Audiovisual 0 Micrographic
QUANTlTY (In cubic feet or number of items),
o Electronic
o Cubic feet:
o Items:
Type of items:
10. NIJNUAl.ACCUMULA1l0N (In cubic feet ill'number of items),
o Cubjc feet:
o hems:
11. .EREQUENCY OF USE,
o Daily 0 Weekly
12. RESTRICTIONS ON USE
o Monthly
o Seldom
o Never
~ "'.DSARE
13L' IN POOR CONDITION
14. VITAL (Essential to operations)
15, 0 OFFlCIAL COPIES
16a NAME OF PERSON COMPLETING FORM
GRS-2 (1212002)
92-799:1592.146 CDC
Records Inventory Data VV orksheet
See IfIstructions in PublicmiofJ 1/76, }nvenLOIY [;Ind P}anrJJny, before completing tilis form.
GOVERNMENT! AGENCY
lb. DEPARTMENT/UNIT
--rt~ S/lAJI&
(Describe contem and characmrislics or records)
,
6. ARRANGEMENT
o Alphabetical
~m''',,'
o Chronological
o Alphanumeric
o Other (Specify)
F 'E1ENTJON
- -, Not scheduled 0 Permanent 0 Appraise for historical value
~'''d"''d ",cern'eo, to 'I IS
6b. SCHEDULE AND ITEM NUMBER ORKEASON.FORPROPOSEDRETENJ10N
8.
o Audiovisual 0 Micrographic
g. TOTl\.L QUANTITY (In cubic fest ornumber of items),
o Electronic
o Cubic feel:
o Items:
Type of items:
10. ANNUAL ACCUMULATION (In cubic feet arnumber of items),
o Cubic reel:
11. FREQUENCY OF USE,
o Daily 0 Weekly
12. RESTRICTIONS ON USE
o hems:
o Monthly
o Seldom
o Never
Dr WSARE
IN POOR CONDITJON
VITAL (Essemialw operations)
16. 0 OFFlCLAL COPIES
16b. DATE
GRS-2 (12/2002)
92-79925 92-J~6 CDC
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