Box 046
Records Inventory Data V\T orksheet
See IrJ511UClIOnS irJ Publicmionl176, Jnvcl1wr,Y and PIDfI{JJny, before cornpl8Ling LIiIS lorm
la. GOVERNMENT/AGENCY lb. DEPARTMENT/UNIT
2 ~C~~;ERlE~~0 Ir ~ ~ \"\ ~( C/D"'~ 1- n. \\ ((
~ k" \~\\ ~t \~) tr
3. DATE srAN
'\ ~ .. ~'l
~ _ G\'
4. RECORDS SERIES DESCRIPTION (Describe contenL and characteristics of records)
~l-\l " \\
i\\J~~1 'C\~~
~ t ~I, ')1c \ <,
h Th (-( """I.,( ( \ ~ 1\ ~
5, ARRANGEMENT
o Alphabetical 0 Numencal
o Other (Specify)
6a. RETENTlqN
o NDL scheduled 0 Permanent
Chronological
o AJphanumeric
o Appraise for hiswncal value
55~1 <,
6b. SCHEDlLEAND ITEM NUMBER., QRREl\SONFORPROPOSEDRETENTION
o Scheduled retention:
7.
apeI' 0 Audiovisual 0 Micrographic 0 Electronic
9. TOTALQUl\NTITY (In cubideeL ornumberofitems),
~CUbIC feet: 0 Items:
10. NIJNUALACCUMULATION (In cubiC feet [l)"number of items),
~ubiC feet: 0 Items:
11 J1REQUENCY OF USE, .
o Daily 0 Weekly 0 Monthly ~ Seldom
12 RESTRICTIONS ON USE
\'J)\
RECORDS ARE
13. 0 IN POOR CONDITION
14. -.8 VITAL (Essential to opera lions)
15 ~ OFFlCLAL COPIES
16a. NAJvffir\ERSON COMPLETING FOR1vl
. D\,l \~~" l
8,
New York Slale /lrchiv
I
Type of items:
o Never
16b. DATE
~ox#
Y'L
~ <~-\ "\)~
GRS-2 (12/2002)
92-7DD25 92-146 CDC