Untitled
Records Inventory Data W orlc.sheet
See instructions in Publication #76, inventory and Planning, before completing this form.
lb. DEPARTMENT/UNIT
ICUYJ
3.
4. RECORDS SERIES DES t and characteristics of records)
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,?,Ojtc_A- -\" \~ .
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5. ARRANGEMENT
o Alphabetical 0 Numerical
o Other (Specify):
6a. RETENTION
o NO[ scheduled 0 Permanent
~hronological
o Alphanumeric
o Appraise for historical value
~ Scheduled retention:
(JV (y/ Qf)()' () f
6b. SCHEDULEAND ITEM NUMBER, ORREASON.FORPROPOSED.RETENTION
11
0--
7.
\,1 U J 1-
B. FORMAT
tP,Paper 0 Audiovisual 0 Micrographic 0 Electronic
9. TOTALQUJ\NTITY (In cubic feet or number of items).
~Cubic feet~ \ 0 Items:
10. ANNUAL ACCUMULATION (In cubic feet or number of items).
1;1 Cubicfeet<:: \ 0 Items:
11. EREQUENCY OF USE,
o Daily 0 Weekly 0 Monthly 0 Seldom
12. RESTRICTIONS ON USE
Type of items:
o Never
~
RECORDS ARE
13. 0 IN POOR CONDmON
14. 0 VITAL (Essential to operations)
15. r:j.. OFFIClAL COPIES
16a. NAME OF P ON COMPLETING F9
"
/
16b. DATE
-Z/-;I]_ () 9
GRS-2 (12/2002)
92-7992592-146 CDC
New York State