Box 001
Records Inventory Data VV' orksheet
See instructions in PubliciJtiof} 1/76, lnvemUfY and PJfJlJ(Jiny, before cornpJetinfJ this form.
la.
2,
4, RECORDS SERIES DESCRIPTION (Describe content and characteristics of records)
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R.-e va Lv/J.J6
PA-PE
6.
o Alphabetical
o Numerical
o Chronological
o Alphanumeric
o Other (Specify):
68. RETENTION
o Nm scheduled ~ermanem
o Scheduled retention:
o Appraise for historical value
6b. SCHEDULE AND ITEM NUMBER, ORREASON.FORP.ROPOSED.RETENTION
7. LOCATION
8.
o Audiovisual 0 Micrographic
QUl\NTITY (In cubic feet ornumber of items),
o Electronic
9.
o Cubic feet:
o Items:
Type of items:
10. ANNUAL ACCUMULATION (In cubic feet arnumber of items),
o Cubic feet:
11. .F.REQUENCY OF USE,
o Daily 0 Weekly
]2, RESTRICTIONS ON USE
o Items:
o Monthly
o Seldom
o Never
RECORDSARE
13, 0 IN POOR CONDITION
14. 0 VITAL (Essential to operations)
16, 0 OFFICIAL COPIES
168. NNIffi OF PERSON COMPLETING FORM
16b. DATE
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GRS-2 (12/2002)
92-7992592-146 CDC