Box 20
Records Inventory Data VV orksheet
See Iflstrucuons if) Publicmiofl1176, lnventOlY and Planning, before cornpJeli
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Llu"dDJrfl
la. GOVERNMENT/AGENCY lb. DEPARTMENT/UNIT --
.'-' ..-- ..- ., -,
J" "r ! /----..~. -'. 'c i'-""
- '- '-- /_- . '---' -~' "-- -.- ....
2, RECORDS SERillS TITLE
-, --,
/- " '>\ ':'~ ".... , -- "'-...-'
,-
3, DATE SPAN
-',
-,(--- -'
- /
4. RECORDS SERIES DESCfUPTION (Describe contenl and characteristics of records)
-
/ , " '- ; ) I I I' _. ,
r"":..,.- - - '- /, - ~. i 1- r' I - _.-~
6. ARRANGEMENT
D'J\Jphabetical o Numerical o Chronological o AJphanumeric
o Other (Specify):
6a ~NTlON o Permanent o Appraise for historical value
~lNQ[ scheduled
cr5~heduled retention:
1 , I t: j
: . . ; , .
, I i
6b. SCHEDULE1\ND ITEM NUMBER, ORREASONFORPROPOSEDRETENTION
, . -
\ ....," -
; -
7. LOCA nON
Ii ! -\ I ~t
8. FORMAT
O'Paper o Audiovisual o Micrographic o Electronic
9. TOTJU.. QUANTITY (In cubic feel ornumber of items),
o-Cubic feet: o Items: Type of items:
10. ANNUAL ACCUMULATlON (In cubic feet W' number of items),
Gl'tubic feet: ; o Items:
11. JlREQUENCY OF USE,
o Dai)y o Weekly o Monthly (iIl'Seldom o Never
12. RES1RlCTlONS ON USE
/
RECORDS ARE
13. o IN,POOR CONDmON
14. GVITAL (Essential to operations)
16. o OFFICIAL COPIES
16a. NAME OF PERSON COMPLETING FORM 16b. DATE
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New York State Jlrchives
GRS2 (12/2002)
92.7DD25 92+'16 CDC
