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Box 15 See """",C;OO~~:l~i~~i~'~I;:~~;~Z ~:;';;n:~;!f:~~~';r;'''i'''' d,', r~f~/\--z~ la. GOVERNMENT/AGENCY lb. DEPARTMENT/UNIT ~, 1 ~ ,.'-,/"") 1-) \ . '") ~ S '-' "..:.: .. l I t.. 1e A-~ , I ki\T r I f'v c~ c. /........ ( ). t:: -.> _/ Cj, 2. RECORDS SERIES TITLE - r--A Y--- t;./Z - !v\ eT J D~ t::- 3. DATE SPAN )/C' s- ..' '- Co"~ .' 4. RECORDS SERlES DESCRIPTION (Describe content and characteristics of records) (' '\" Ie T/-\,,2 'b, 'f.- -:-,' T ') E/v\ (::')'Tl c;/'J Ai' fL./ '^O A TI C "'-,' S (., X b IV\ i~) T I A "",'1 LI '~ A'{I OU--.: L,.tN I/-, t> DN II" '- L C'~ 6. ARRANGEMENT / o Numerical o Chronological o Alphanumeric g..AJphabetical o Other (Specify): 6a RETENTION ~praise for historical value ONOL scheduled o Permanent ~^ c leduled retention: , ", () (/1' / > r,~')/? ~ , f; [I {('If t/('-.,-i (,7 I), '" :., f-. /Cll)"/' ,--l't',! (Hp ) . r, I I Je 6b. SCHEDULEAND ITEM NUMBER, ORR.EASON.FORFROPOSEDRETENTION I I . [ S'8CI] 7. LOCATION eil J~~ (,,-' A T~I 8. ~MAT aper o Audiovisual o Micrographic o Electronic 9. TOTAL QUANTITY (In cubic feet ornumber of items), 'EfCubic feet: I o Items: Type of items: 10. ANNUAL ACCUMULA"TION (In cubic feet 01' number of items), mubic feet: I I( L)' o Items: 11. J7REQUENCY OF USE, /' o Daily o Weekly o Monthly pSeldorn o Never 12. RESTRICTIONS ON USE ;.\ (" . c"' ,.,~- <- c. ~ ~l r\ " r- ('f..-' L- \,/ ../ j C ....; "",./ C ~ RECORD S ARE 13. ~OOR CONDmON 14. !TAL (Essentiallo operations) 15. o OFFICIAL COPIES 16a NAME OF PERSON COMPLETING FORM 16b. DATE /L -/ 'I i I \.. ['t- L i' " '-. l/J/<jt.-L ( ,). (liCe New Yark Slale /\rchiv~ GRS2 (12/2002) 927992592,106 CDC