Box 18
la. GOVERNMENT/AGENCY lb. DEPARTMEN1IUNIT --
~- I cF vJA PPltJC"l$R. A s'S E-5'So (2-
\CWr--J
2, RECORDS SEIUES TITLE
L\ '5 S E>SS t-lt:: J--j, (< 0 L.- L
3. DATE SPAN
['7&;
4. RECORDS SERIES DESCRIPTION (Describe content and characteristics of records)
1'1&5 F JI,JA L IA y.. '12.(.) l-L
5. ARRANGEMENT
IlrAlphabeticaJ o Numerical o Chronological o Alphanumeric
o Other (Specify):
630 RETENTION
o Not scheduled rr.n5~rmanem o Appraise for hiswrical value
o Scheduled retention:
6b. SCHEDULEAND ITEM NUMBER, ORREASONFORPROPOSEDRETENTION
:){)1 if]
7. LOCATION
(' I' ,--:. ",: \,A...:\ !f.-t
B. FORMAT
lDPaper o Audiovisual o Micrographic o Electronic
g. TOTAL QUANTITY (1n cubic feet or number of items),
0'Cubic feet: o Items: Type of items:
10. ANNUAl. ACCUMULATION (In cubic feet OJ' number of items),
o Cubic feet: Cd1tems: l/31"',
11. FREQUENCY OF USE, 0'feldom
o Daily o Weekly o Monthly o Never
12. RESTRICTIONS ON USE
J ---
/' (. tv t;:.-
RECORDS ARE
13. o IN POOR CONDmON
14. o VITAL (Essential to operations)
15. l.\I'6FFlCIAL COPIES
16a. NAME OF PERSON COMPLETING FORM 16b. DATE
l.'IL h JU-' ' 'J( (;)(/i'~( ( i Die (~ Ie k
.,
.l~. V 'r
Records Inventory Data VV orksheet
See lf1strUCliol1s in PubliciJlJol1l/76, }nvlHJLUIY Clnd PICllJning, bdDJ't! cDf'JJpltning tillS forfll.
~
New Yark State IIrclllves
GRS 2 (12 20OJ)
92.7D925 92-146 CDC