Box 100
//
Records Inventory Data \M orksheet
See IflSlJ'UCllons ill PubJic81iol 11/76, 1n lIenwr:\' and P1a/J0I/JD, belor~, cOlTlplelin~1 dlls form.
la. GOVERNMENT/AGENCY ]b, DEPARTMENTIUNlT
'lOwn of tJr.Ili'\" '''''~r Aar.::Ju I'lh (\0
2. RECORDS SERIES nTI..E J ...J
3. DATE SPAN
2007
4- RECORDS SERIES DESCRIPTION (Describe comem alld char<:Iclenslics or records)
~heck. vIsbursement5 @
Di/?'oJ07 - O&JI1}OJ 2001
5. ARRANGEMENT .~hronoIOgiCa}
:J Alphabetical o Numerical o Alphanumeric
o Other (Specify):
6a REIT.J;WrlON
CJ Not scheduled o Permanent o Appraise for historical value
,X"Scheduled retention: b yeax5
6b. SCHEDULE AND ITEMNUMBER, OR REASON FOR PROPOSED RET.ENTION
[245J
7. LOCATION
ea. r nwcd-h
B,~T
Paper o Audiovisual o Micrographic o Electronic
9. TOTAL QUANTITY (In cubic feel or number of items):
)teubiC feet: < , o Items: Type of items:
10. ANNUAL ACCUMULATION (In cubic feel arnumber of items):
)(6ubiC feet: ~ I o Items:
11 FREQUEN'CY'OF USE: ,~eldom
o Daily o \lVeekly o Monthly :J Never
]2 RES1RlCTIoNS ON USE
N/A -~
RECORDS ARE ((30)(. "-
13. [] IN POOR CONDmON
]4.~AL (Essential to operations) '- 15~
]5. OFFICIAL COPIES
]6a NAME OF PERSON COMPLETING FORM ]6b. DAlE
. UcJ,."Q~~ (p jt+ I~)Cl'
New York 5[a[e I\rdhives GR5.2 (12'2002)
92-7992592.146 COC: