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Records InventD1J! Data \Norksheet
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la. GOVERNMENT/AGENCY
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4. RECORDS SETUES DESCTUPTION (DeHcriU{'1 willen!. wid clltlfllcteristicE 01' rf:lcords)
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5, ARRANGEMENT
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6a RETENTJON
o NO[ scheduled ~ Permanent 0 Appraise for historical value
~ Scheduled retemion:
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6b. SCHEDULEJ\NIJlTEM NUMBER. QR.REhSON.FORPROPOSEDRETENTlON
dca~LI 0-.
7. LOCATION
8. !PRMAT
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9. TOTAL QUANTITY (lncubic feel ornumber of items),
~ Cubicf eet: ./... I 0 items:
10, ANNUAL ACCUMULATION (In cubIC leet. ornumber of items),
l/J Cubic I eel: L / 0 hems:
11. .EREQUENCY OF USE,
o Daily 0 Weekly 0 Monthly 0 Seldom
12. RESTRICTIONS ON USE
t0A
RECORDSARE
/13. 0 IN POOR CONDITJON
14. 0 VITI'J.. [EsseotlallO operations)
115. ~ OFFlCiAL COPIES
16a. NAME OF ERSON COMPLETD~G FORM-
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Type of i[ems:
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927992592'14& COt
Records lnventory Data \Norksheet
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2, RECORDS SEHIES TlTLE
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.<]. RECORDS SEIUES DESCrUPTION (DeHcriU(~ conLent unci cll<lracu:!ns~iC5 01 record,,)
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5, ARRANGEMENT
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6a. RETENTION
o Nm scheduled ~ Permanem 0 AppraisE: for hiswrical valuE:
~ Scheduled retention:
I'V U (Y\
6b.SCHEDULEJ\NDITEM NUMl3ER. OR.R.EJ\SON.FORPROPOSED.RETENTION
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7. LOCATION
B. ..FPRMAT
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9. TDTlI.L QUANTITY (lncubideel ornumuBr ol'items),
tJ Cubicf eel: '- / 0 items:
10, ANNUAL ACCUMULATION (In cubiC feel arnumber of items),
'6/J Cubic feeL: L I 0 ltems:
11. J!REQUENCY OF USE:
o Daily 0 \"/ eekly 0 Monthly 0 Seldom
]2, RESTRICTIONS ON USE
!\JA
RECORDS ARE
113, 0 IN POOR CONDITION
14. 0 VITI'.L (Essentlalw operations)
115. ~ DFFlCIAL COPIES
16a, NAME OF EREON COMPLETING FORM"
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927992592.146 COt
Records lnventory Data \Norksheet
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la, GOVERNMENT/AGENCY
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2. RECORDS SERIES TITLE
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3, DATESPA:N
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4. RECORDS SERlES DESCTUPTION (Descriu(-, (;lJflteOl. und d IUrl:1cteris~iCS 01 records)
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5, ARRANGEMENT
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6a. RETENTION
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~ Scheduled retention:
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6b.SCHEDULEJ\NDlTEM NUMBER, DRREASON.FORPROPOSED.RETENTlON
d.ca~LJ
7. LOCATION
8. JPRMAT
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9, TOTlI.LQUANlITY (lncubicfeel or number ol'items),
tjCubideeL: Z I 0 items:
10, ANNUAL ACCUMULATION (In cubIc leel or number of items),
~ Cubicf eeL: L/ 0 hems:
11. .F.REQUENCY OF USE:
o Daily 0 \^ieekly 0 Monthly 0 Seldom
12. RESTRICTIONS ON USE
I\JA
RECORDS ARE
\13. 0 IN POOR CONDITJON
,14, 0 VITf.L (Essentlalw operations)
115, ~ OFFICIAL COPlES
16a. NAME OF BREON COMPLETD>JG FORM.
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Type of items:
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9) .799:l:, 9:1..146 COL
Records Inventory Data V\Torksheet
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:;: RECORDS SERlES TITLE
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3, DATESPAN
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5, ARHANGEMENT
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o Alphanumeric
o Other (Specify):
6a RETENTION
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)it Scheculed retention:
'--p --e.,w/ (Y\
6b, SCHEDULE AND ITEM NUMBER, DR.REJ\SONFORPROPOSEDRETENTION
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7, LOCATION
o Electronic
o Audiovisual
o items,
10, ANNUAL ACCUMULATION (in cubic leet ornumber of items),
'&/J Cubicfeel: L J 0 Items:
11. .EREQUENCY OF USE:
o Daily 0 Weekly 0 Monthly 0 Seldom
12, RESTRICTIONS ON USE
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Type or items:
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16b. ATE
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9_ 7992592-146 coe
RecordslnventoJ:V Data \Norksheet
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5. ARRANGEMENT
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o Dtller (Specify):
6a RETENTION
o NO[ scheduled ~Permanent
~hronological
o Juphanumeric
o Appraise for historical value
~ Scheduled retenLlon:
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6b.SCHEDULEJ\NDrrEM NUMl3ER. ORREASON.FDRP.R.OPOSED.RETENTlON
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7. LOCATION
8. !PRMAT
1iI Paper 0 Audiovisual 0 Micrographic 0 Electronic
9. TOTAL QUANTITY (In.cubicfeel oTnumber of items),
tJCubicfeeL: '- I 0 items:
10. ANNUAL ACCUMULATION (in cubIc leel. arnumber of items),
'&/J Cubic feeL: LID hems:
11. .F.REQUENCY OF USE:
o Daily 0 Weekly 0 Monthly 0 Seldom
12. RESTRICTIONS ON USE
t0A
H.ECORDSARE
\J3. 0 IN POOR CONDITlON
,1':1. 0 VITI'.L (Essential lCJ operations)
!l5. ~ OFFlClAL COPIES
16a. NAME OF ERSON COMPLETING FORlvl-
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Type or irems:
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