Box 099
o-.~
Records Inventory Data v,r orksheet
See ITIsLlucrions ill publicarion4!76, ]JJvenwr\' and Planning. bef ore completin~J this form.
la. GOVERNMENT/AGENCY
.-roW t, of Wu. i 11
2. RECORDS SERIES TITLE
lb. DEPARTMENTIUNIT
Acc.')u.-!+i t')'
c('
3. DATE SPAN
2001
4. RECORDS SERlES DESCRIPTION (Descl'ibe cOllLenL and clwracLensLics or records)
Che.c.k. 'J),sbu rsemeYlt-5
04)13)07 - 0 ';)1-1)07 2007
5. ARRANGEMENT
Q Alphabetical 0 Numerical
~hronolOgiCal
o Alphanumeric
w Other (Specify):
6a. RETENTION
o Not scheduled 0 Permanent 0 Appraise for historical value
XScheduled retention: (0 years
6b. SCHEDULE AND ITEM NUMBER, OR REAS ON FOR PROPOSED RE'IENTION
[245J
7. LOCATION
C.U v n W..~th
8. ygRMAT
)!~Paper 0 Audiovisual 0 Micrographic 0 Electronic
9. TOTAL QUANTI'lY (In cubic feel arnumber or items),
)(Cubic feet: .( , 0 Items:
10. ANNUAL ACClJMill.ATION (In cubic feeL arnumber or items):
)(CubiC feet: .c.. 0 ltems:
:ll FREQUENCY OF USE:
o Daily 0 VVeekly 0 Monthly )(Seldom
:12. RESTRICTIONS ON USE
NA
RECORDS ARE
13. 0 IN POOR CONDmON
14. EJ'ITAL (Essential to operations)
15. ~ OFFICIAL COPIES
16a. NAME OF PERSON COMPLETING FORM
@
Type of items:
:J Never
16b. DATE
GRS-2112.'2002)
9:!-79925 92.146 CDe