Box 051
.~
'7
Records Inventory Data V\forksheet
S8C IrJSLJuCLiol1s in PubliCiJLiOfl '1/76, ]nvelH01Y and Plannin!J, befOi'8 cornplc:Ling LIJis ronn
GOVERNMENT/ ^GENCY
Ib DEP^RTMIlNTIUNIT
c.u",~ 1J,,\\t[
rIEl
l
12,
I
3. DATESPAN
"""\ O\N '" ~-\ W"RQ\'^~((
RECORDS SEHIES TIT' \-- \ ~ \ \
\ ~ ",
?t-,\l"\\
\~ ~'\
4. RECORDS SERIES DESCRIPTlON (Describe content cwcI char3CLenstics of records)
5. ARRANGEMENT
o Alphabe[ical 0 Numerical
~chronOJOgiCal
o AJphanumeric
o Other (Specify)
60. RETENTlqN
o Not scheduled 0 Permanem
~ Scheduled recention:
o Appraise for histofJcal value
s S' )~ S
SCHEDlll..E AND ITEM NUMBER, ORREASON .FORPROPOSED RETENTION
16b
)L15
7. LOCATION ('
~k-{ Y\ w i.--~ ~ \
8. PORMA. T
A Paper 0 AudIOvisual 0 Micrographic 0 Electroruc
9. TOTAL QU7\NI1TY (In cubicfeel ornumber of items!,
'){ CubiC feet: 0 Items:
10. ANNUAl. ACCUMULATION (In cubic reel ar number of items),
~CUbjCfeBl o Items:
11 JlREQUENCY OF USE,
o Dady 0 Weekly 0 Monthly Seldom
12 RESTRICTIONS ON USE
Type of items:
o Never
~\l\
RECORDS hRE
13 0 IN POOR CONDITJON
14. 0 VITAL (Essential to operations)
15 ;i.. OFFlClAL COPIES
160. NAJ
16b. DATE
~-J.' ~
fut
GRS-2 (12/2002) <:::> .<'"
92-799:1592-146 COC CJ '-.)