Box 138
Records Inv8ntoI]1 Data V\! orksh88t
See ifJSlJ'uCLions in PubliCimofJ '//76, )nvt.'lJwry Clod PlaFininy, before cornj'JJelin9lhis roml.
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la, GOVERNMENT/AGENCY lb, DEPARTMENT/UNIT I
'\ 1:) W{\ ~ \ \,,j ", r P'\^ J.... ( r V 0 "",(l T I ~ \) u.
2, RECORDS SERIES TITLE ~ J --V
~" (\) \ \ ~~\lJV\~S
3, DATESPAN
~~\1 ~~~~ ~~ \J~l.-.. ~.J~\)<t
4, RECORDS SERlESDESCIUPTION (Describe content i.Jnd CIJi.lnJCLerislics of records)
~ ~'l \ ;;'\\ ~ ~'<Jl\2\~
~~~~
5, ARRAN GEMENT
o AlphabericaJ 0 Numencal
o Other (SpeCIfy);
6a. RETENTJC:lN
"
o NO( scl1l!:duJed 0 Permanem
~ Scheduled retention
~ ChronoJoglcal
o AJphanumeric
o Appraise for hlsw[Jcal vaJue
6b SCHEDLlLEAND ITEM NLDvlBER, ORREASON.FDRPROPOSEDRETENTION
7. LOCATION
~"1~
i\~
ss
~L\ S
(
\.....1 t,,{ Y\ V\l '
8, FORMAT
){i Poper 0 AudJDvisual 0 Micrographic 0 EleClronic
9, TOTAL QUANTITY [In cubicfeel ornumber of ilems},
~ Cubic Feel 0 Items:
lO. AJ,J'NUAl. ACCUMULATION (In cubic FeeL QT number of jeems),
'a( Cubic [eeL: 0 hems:
11 FREQUENCY OP USE,
o Daily 0 W eekJy 0 Momhly
12 RESTRlC110NS ON USE
\0 \ 1\
RECORDS ARE
13, 0 IN POOR CONDITJON
14, 0 VITAL (EssemiallO operaeions)
J5, ~ OFFJClAL COPlES
16a. NAME OF PERS COMPLETING FORM
I D IJ\/J~
Type of Items:
o Never
G tlx-ft
16b. DATE
New York SC3ceJlrclllves
.\1')~-{)
GH.S.2 (J2J2002)
92.7Dn, 92.1.6 CDC
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