Box 091
~~Acl.\
Records Inventory Data VV orksheet
nSL/'ucLioJls in Publicmionl/76, Invom01Y and Planning, before compleLing this form,
lb. DEPARTMENT/UNIT
2,
3,
~OO~
4, RECORDS SERIESDESCRlPTION (Describe content ,lOd charaCLeristics of records)
S u...W\~~'1
~~d..,~'\S
C~Y\~
~ ,) ~,; .J- ~
~-c pO"'~ ':1..00 '1
o Ocher (Specify):
6a RETENTICJN
o Nm scheduled 0 Permanem 0 Appraise for hiscorjcal value
~cheduled retention:
~VllS ~Or~
6b, SCHEDULE AND ITEM NUMBER, ORREASONFORPRDPOSEDRETENTION
~umerical
o Chronological
o AJphanumeric
,~. ~S<-
7, LOCATION
L" tt.1\l ~ 'r
8, FO T
g. QUl\NTITY (In cubicfeeL ornumber of items),
o Audiovisual
o Micrographic
o Electronic
o Cubic feet:
o Items:
Type of items:
10. ANNUAL ACCUMULATION (In cubic feet or number of items),
o Cubic feet:
o Items:
11. .EREQUENCY OF USE,
o Daily 0 Weekly
12, RESTRICTIONS ON USE
o Monthly
o Seldom
o Never
RECORDSARE
13, 0 IN POOR CONDITION
14. 0 VITAL (EssenLialw operations)
15, FFJClAL COPlES
16b. DATE
~f
GRS2 (12/2002)
92-7DD:!5 92-'.5 CDC