Box 082
Records Inventory Data V\( orksheet
Sce irlSll'UCLlOI1S in PubliccJLion -1176, JnVCIJWfjl Clnd PJanning, bel orc cornpJclifl9lhis rOl'rn.
18 GOVERNMENT/AGENCY Ib DEPARTMENT/UNiT
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2. RECORDS SERIES TITLE ~J
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3. DATE SF -
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4. RECORDS SERIESDBSCIUPTION (Describe cancenL ClncJ char8cLC:risLics or records)
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15 ARRANGEMENT
o Alphabencal 0 Numencal
o Other (Specify);
6a RETENTION
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o No[ scheduled 0 Permanem
~ Scheduled retention
~ Chronological
o Alphanumeric
o Appraise for hiswf)cal value
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17. LOCATION
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Gb S CHEDlll...E AND ITEM NUMBER, OR
8. FORMAT
~ Poper 0 Audiovisual 0 Micrographic 0 Electronic
9 TOTAL QUANTITY (In cubic feel OJ number of il8ms),
~ CubIC feet: 0 Items:
110 ANNUAL ACCUMULATION (In cubic reet ar number of items),
"b( CubiC feet: 0 Items:
11 .FREQUENCY OF USE,
o Dady 0 Weekly 0 MOnLhly
12. RESTRlCTlONS ON USE
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RECORDS ARE
13. 0 IN POOR CONDJTJON
14. 0 VITAL (Essenllallo opera lions)
15. ~ OFFJCLAL COPIES
IGa. NAJv1E OF PERS COMPLETING FORM
New York Slale )"cliives
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Type of ilems
o Ne-ver
16b. DATE
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GRS-2 (J2J20021
92.7DQ:lS 92-\'16 CDC
