Box 23
iJi
Records Inventory Data Worksheet / ~
See instructions in Publtcmion 1/76, Invemory c1/Jd Planning, before completing chis form,
la. GOVERNMENT/AGENCY lb. DEP ARTMEN1/UNIT
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2. RECORDS SERiES TITLE
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3. DATE SPAN
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4. RECORDS SERIES DESCRIPTION (Describe content and characteristics of records)
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6. ARRANGEMENT
IS3"Alphabetical o Numerical .0 Chronological .0 AJphanumeric
o Other (Specify):
6a RETENTION
l;l1\Jot sclleduled o Permanent .0 Appraise for hiswrical value
o Scheduled retention:
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6b. SCHED ULE AND ITEM NUMJ3ER, ORREASONFORFROPOSEDRETENTION
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7. LOCATION
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8. FORMAT
g'Paper o Audiovisual .0 Micrographic o Electronic
9. TOTAL QUl\NTlTY (In cubic feet ornumber of items).
ri3'Cubic feet: I .0 Items: Type of items:
10. ANNUAL ACCUMULATION (In cubic feet w'number of items).
IiiaCubic feet: 1 / ~K .0 Items:
11. FREQUENCY OF USE.
ODaily o Weekly .0 Monchly ~eldom .0 Never
12. RES1RICll0NS ON USE
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RECORDS ARE
13. o IN POOR CONDmON
14. ~r\rITAL (Essential to operations)
16. o OFFIClAL COPIES
16a NAME OF PERSON COMPLETING FORM 16b. DATE
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II
New Yark State /Irchives
GRS-2 (1212002)
92-7ans 92,146 COC