Box 005
Records Inventory Data Worksheet
See instructions in Publication 1/76, lnvem(}lY and Planning, before cornpletinfj cbis Conn.
4.
6. ARRANGEMENT
o Alphabetical 0 Numerical
o Other (Specify):
6a RETENTION \J ~
o Nm scheduled r{ermanent
o Scheduled retention:
)( Chronological
o Alphanumeric
o Appraise for historical value
6b. SCHEDULE AND ITEM NUJvffiER, OR.R.EJ\SON FORPROPOSEDRETENTION
,. ~"\~
7. LOCATION L~ ~ ~;\'"
8.~RMAT
~aper 0 Audiovisual 0 Micrographic
9. TOTALQUl\NTITY (In cubic feet ornumber of items).
o Electronic
o Cubic feet:
o Items:
10. ANNUAL ACCUMULATION (In cubic feet arnumber of items),
o Cubic feeL:
o Items:
11. .rrREQUENCY OF USE,
o Daily 0 Weekly
12. RESTRICTIONS ON USE
N"
o Monthly
RECORDS ARE
13. 0 IN POOR CONDITJON
14. 0 VITAL (Essential co operations)
16. ~ OFFICIAL COPIES
16a NAME OF PERSON COMPLETING FORM
~ ~~~ 'J ""~
New York Stale IIrchive
C'oYW\~olkP-.
t V'''\'''tf~
Type of items:
o Never
16b. DATE
~~ -- bf
GRS2 (12/2002)
92.7992592.146 eoe