Box 085
,,&
Records Inventory Data \1\1 orksheet
See inSlIuctiOIlS ill PublicatioJl 4/76, iIJllenwrl' and Planning before completin9 thIs form,
la, GOVERNMENT! AGENCY Ib, DEPARTMENTIUNIT
'lOwn oP Ill." .......'dAU..., Accounhnu
2. RECORDS SERIES TI'I1Jl .,) _J
3, DATE SPAN
2007
4- RECORDS SERIES DESCRIPTION (Describe comem amJ clJaracterisLics of records)
C.hec.. k ])",:; bi)rsemeflts (ZaB)
OgJ24/07 - J O)J$)07 20D7
5, ARR..t\NGEMENT ~hronologicaJ
:J Alphabetical o Numerical o Alphanumeric
o Other (Specify):
6a REIENTION
Q No't scheduled o Permanent o Appraise for historical value
)'CScheduled retention: to years
6b, SCHEDULE AND I'IEMNUMBER, OR REASON FOR PROPOSED RETENTION
[2'15J
7. LOCATION
CCtynwRth
B,.~T
Paper o Audiovisual o Micrographic o Electronic
9, TOTAL QUANTITY (In cubic feel or number of items):
)(Cubic feet: < J o Items: Type of items:
10. ANNUAL ACCUMULATION (In cubic feel ornumber of items):
)(CubiC feet: ~) o Items:
11. FREQUENCYOFUSE, ~eldom
ODaily o VVeekly !J Monthly :J Nevel'
12 RESTRICTIONS ON USE
tJjA -
RECORDS ARE eO\)
13, 0 IN POOR CONDmON
14, ~AL (Essential to operations) ),=,-1
15, . OFFlCIAL COPlES
16a NAME OF PERSON COMPLETING FORM 16b, DATE
CIl~Q~MJk (P/4/09
New York State f\r~lives . ~RS.2 Jl~'2002)
92-7992:> 92.146 CDC