Box 053 Records Inventory Data V\T orkshe8t See irJSLIUCliollS in Public(j[io/l .f/76, )rrvclJI.D1Y C/nd PlfJilnin[j, before: cornpleung LlJlS 101m. 18 GO\!EPJ-.JMENT/J\GENCY Ib DTIPARTMENT/UNIT C- il "'"' ~ 'J\, \ \ t( \' Q\iv V' ~ -\ \i01' R Q\,^~ ( ( 12 RRCORDS S~S:IT~ " \\ \lV -S '-J \~ V\ ~ ~ 4, RECORDS SERIESD SCRIPTION (Describe content und cl18r8ctl'ristics of records) 3, DATESPAN ~\) '\)ec \~~~ ~ hl 1'\\ \~ ~ ~ ~~S\J 5, ARRANGEMENT o AJphabwcal 0 Numencal o Other (SpecIfy): 63, RETENTJqN o Not scheduled 0 Permanem 0 Appr8jse for hisrof)cal value ~scheduled retemion s- 6b SCHEDULE AND ITEM NUMBER, OR~oN~1~OPOSEDRETENJ10N ~ChrOnOJOgICal o AJpb8rlUmeric 7, 8. PORMAT "jJ,Paper 0 AudJDvisual 0 Micrographic 0 Electronic 19. TOT7\.L QU1\NTITY (In cubiC feet ornumber of items), ){, CubIC feet 0 Items 10 ANNUAL ACCUMULATlON (In cubic feet [If' number of items), ~CUbJC feet: 0 hems: 1J FREQUENCY OF USE, o Daily 0 Weekly 0 Momhly Seldom ]2, RES'JRlCTIONS ON USE 'N\" RECORDS ARE J3 0 IN POOR CONDITiON 14, 0 VITAL (EssenuallO operations) 115, 'yi." OFFJCLAL COPIES 16a. NAJ F PERSON COMPLETING FORM ~, 'SJ)N;tv 1\ Type of items o Never Gf(S-2 (1212002) 92-7D~:LS 92-H6 CDC rsO'xt ~~ 16b. DATE 'l~ \'b~