Box 089
Records lnventory Data "\N orksheet
See immuclions in Publication t/76. lnvenwf:I' and PlafJnin9. before completillfllhis fornl.
la. GOVERNMENT/AGENCY lb. DEPARTMENT/UNIT
.--r;w.'\ of Wo...OO" (jCle(' Accounti .'14
.2. RECORDS SERIES TITLE v ~.
3, DATE SPAN
2007
4- RECORDS SERlES DESCRIPTION (Describe comem alld characlenslics of records)
c'h e c. k. "1) i 5 burs e m e. nts (ia?;
/D)Jr:;!07- II}Z 1/07
20D7
5. ~GEMENT .~hronolOgiCal
=:J Alphabetical o Numerical o Alphanumeric
:J Other (Specify):
6a RE'IENTlON
Q Not scheduled Q Permanent Q Appraise for historical value
>>cheduled retention: h years
6b. SCHEDULE AND ITEMNUMBER, OR REASON FOR PROPOSED RETBNTION
[z4SJ
7. LOCATION
c..aYI1WQ;!-h
B'Z:T
. Paper Q Audiovisual o Micrographic o Electronic
9. TOTAL QUANTITY (in cubic feet arnumber of items):
X'CubiC feet: ~I o Items: Type of items:
10. ANNUAL ACCUMULATION (In cubic feet arnumber of items):
)(CubiC feet: ~ 1 o Items:
11 FREQ1JENCYOF USE, )(Seldom
o Daily o "\leekl)' o Monthly :J Never
1.2. RES1RlCTIONS ON USE
tJik --
RECORDS ARE CSO~ ')
13. 0 IN POOR CONDITION
14. Q VITAL (Essential to operations) '6~.....
15. XOFFIClAL COPIES
16a NAME OF PERSON COMPLETING FORM 16b. DATE
O'\~ 67~Gl-\~ (PJ~J01
New York State Arcll,ves GRS-2 (12.'2002)
92-7992592.146 CDC