Box 101
~
~ See '''WU''"",~~:~i:~i~'~~,~;';;~Z ~;J;;:,:~~~7~';'~;'''i''9 ,"" loom
la. GOVERNMENT! AGENCY
lb. DEPARTMENT/UNIT
r
~
~OO7
4. RECORDS SERIES DESCRIPTION (Describe COOleOl <lnd characlerislics of records)
'-ll\~ ":tc;u..rl\Q..(S
AttEf\es
--::::&~~
II - II /07
1/-1113-/'7
'{I - 11134/r1
( PlO)
C~ c.. (.
5.
o Numerical
o Chronological
o AJphanumeric
Other (Specify):
5a. RETENTION
o NO( scheduled 0 Permanent 0 Appraise for historical value
XScheduled retention:
to '(P-5 ~O\3
6b. SCHEDULE AND ITEM NUMBER, OR.REl\SONFORPROPOSEDRETENTION
'2
7. LOCATION
Pc (LN W A-,*
8. FORMAT
o Audiovisual 0 Micrographic
9. OTAL QUANTITY (In cubic feet or number of items,.
o Eleclronic
o Cubic feel:
o Items:
Type of ilems:
10. ANNUAL ACCUMULATION (In cubic feel arnumber of ilems),
o Cubic feel:
o Items:
11. ..EREQUENCY OF USE,
o Daily 0 Weekly
12. RESTRICTIONS ON USE
o MOOlhly
o Seldom
o Never
RECORDSARE
13. 0 IN POOR CONDJTJON
14. 0 VITAL (EssemialLO operalions)
15. OFFlClAL COPIES
16b. DATE
o~
GRS.2 {J2I2002l
92.7DD:l5 92-)"16 CDC