Box 14
See ;"'''"c,''''~~:~~~~,~~~;,;;~z ~~;;:n:I~;!r:'~;~,;r",;"" d,;J~
la. GOVERNMENT/AGENCY lb. DEPARTMENT/UNIT
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2. RECORDS SERIES TITLE
A 'f. c X ( Jv \ f )1/ ( t"-
3. DATESPAN
;;{( ,if
4. RECORDS SERIES DESCRIPTION (Describe content and charactenstics of records)
-,
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C ",-. ri ",2 (, I':: r-=t
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5. ARRANGEMENT
IQ-Alphabet:ical 0 Numerical
o Other (Specify):
6a. RE];ENTION
~Q[ scheduled 0 Permanent
~1~eduled retention:
6b. sc~~~~~i~~ ~~~~N;~;~~:)~Nl10: I)~'
o Chronological
o AJphanumeric
o Appraise for historical value
/, " -
IL It," I
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7. LOCATION
\'! I
~ i)
(; !I,!' 1- lA..i ) 1-
8. FORMAT
Oi5aper 0 Audiovisual 0 Micrographic 0 Electronic
9. TOTAL QUANTITY [In cubic feet: ornumber of items),
o Cubic feet: 0 Items: Type of items:
10. ANNUAl, ACCUMULA:rrON (In cubic feet or number of items),
IIJ'Cubic feet:
o Items:
11, FREQUENCY OF USE,
o Daily 0 Weekly
12, RESTRICTIONS ON USE
o Monthly
Q-Seldom
o Never
.: L '/ ':)(t
A I f
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RECORDS ARE
13. 0 r:N POOR CONDmON
14, Q\TrrAL (Essential to operations)
15. 0 OFFICIAL COPIES
16a. NAME OF PERSON COMPLETING FORM
16b, DATE
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;
New Yark Slale IIrchives
GRS2 (12/2002)
92-79925 92-,Q6 CDC