Box 21
F~E:~ ::::orus .iTJVemDT'\I D i::.LtcJ\V o1'1:.s1 J[:; 81
~.I~(' IIJ!:;UlJCLW!J:. JII l-'uIJjl~.dl.lUl,I"i'[.' JIIVCfll.(;n i:J1J(.! /J!i:JIJlJlIl!_i iH:!t/J'{' :~l!IJJjJJl:L1'I!_1 [111:-,1(11'111
1]'~~:~~]cll1 1,1i nBI'M'TMEI~~~ej~' k~ $
1'~:~EI&:\~~~ho'" ~~o~ ~ L. LS9S;] A
-". DJ,'TESP/'J'j
O)oo~/~CJ0~7 S=-J'C~\)G0< dO~Co Re~'Tgx
.LJ. J:.E::::OJWE.: smUES IJEs:r:JVI'lON (Iie,:criiJl: [;UIILc!fJL ,II lei Ch"fdCLtW;UC[. 01 r ec;ords I \
..:JOO (, ~ ~ \' o.x i.L:CJ VI cu'\ l' + Ccl ( IccJ1 0 VI
;2<:)0(, ~'t"'4. Ux{e.SfD"JeYlc,c:, lUp\\co.Jc f,,^<~
d)OG (dOO 7 S::J1c:P\ (O-..'{.. Co(\edJ'Ov'l
J
I
J
I
I
/
5. J:JUV'J\JGEMENT
o j,Jphabeucal AI\)umencal
o Q[i1e:-(Speciiy):
6a. JLvr.t:.NTION
o NO[ scheduled 0 Permal1ent
o Chronological
o iJ pbanumeric
d <2J ( 3
o Appralse for hlswrical value
~chedu\ec re[emior.:
60. SCHEDULEAND ITEM NU1vffiEP~ OR.RV.SON.POR.PRO?OSED.F.ETENTION
I. C ")9~ J A
7. :DCf"TIDN
8. FORM.AT
ad:'apeJ
o EleclroruC
o )\udiovlsual 0 Micrographic
I
9. TOTJ.L QUANTITY (In cubic feel or number of iL8ms),
o CubIc f eeL: I ~ t -+- 0 hems:
10. lJ-INU1J.., ACCUlvllJU;TlON (In CUOlC leel or number of ILems}
AjA
Type of items:
o Cubic feel.
Olu:!ms:
\11 JTgOUE1\JCY OF USE,
I 0 Daily [J Weel:1y
I
/12 P3STPJ.CTI:::JNS ONUS!:
I
o Monthly
CJ Seldom
~,Never
1F..3::0FDS fJ'-.!:
,,"7 :=c D\ ?DJT,::CJiDITlON
1~4 ~ \T}~ C=.s5~n[la. LC ODsr3uanSj
I::: H:::'l::lJ ~ ::O:='E5 .
1:.1:':'.
::5,- J<.lj.E J"" ::;::0;; 2Jj.; rJj-O' ~"Tnr. ;:;Jl'JII .
. .~.~. ~ ,-~-- -' ~~ t?w~
:;?~s.:::; (:2.;2J~2!
S:._-7DS~~, B~+4o :.n:.
