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Box 25 Records Inventory Data V\! orksheet See insLJucuons in PubliciJlJof) '1/76, )nvf.'nwrv [;Ind Planning, brAor8 cornpJelinfJ [!Jis forrn. 1a. GOVERNMENT/AGENCY lb. DEPARTMENT/UNIT +2 ;)OC~ 8. ("" . ~~f~ 2, e~ '"' /#' f"';f' ~~i,L ,~>.j "> 4, RECORDS SERlESDESCFUPTION (Describe comem ,me! ClJill'8cteristics of records) C'. " ....~' t"..,-~..U(,;\. c~",-). l ~ IC~,- \"l\~t~G-l " ~ ~ ~ ~h - 3~:-:~d~f~ (~tt ~ J C ,,"- ~. ~ , \..\~. "'- <.-! ..i."..".'_....... .. (/ ~~ \ .~.. M. \ ,1 ,'\. \\, IJ\ '\ \, ':-\~i/' -~. .l)f\ f'''', iJ ,.,,', (,:...~.:, ! C I .j' I.. c.-""" t ...,,) Y. .'/ ) ,a t:'~~ , ~~/ y~.~:;;~~~,,~.~ 5, ARRANGEMENT o AJphabericaJ 4/,. ~umerical o Chronological o AJphanumenc o Otber (Specify): 6a RETENTlqN o Not scheduled 0 Permanem 0 Appraise for histoncal value 'M....:Sc,.. cbeduled retention.: 1\ !:', I., rC ;:ro ,p.l '....CJ (I'- ..7/ 6b SCHEDULE AND ITEM NUMBER, QRREJ\SON.PORPROPOSEDRETENTION t' r- "'" b.- ,t ,"",.t ~ ~,. k.~~ /C), ) I'~ &-J.~ 7. LOCATION C-A 1<. IV b A 1~'H' 8. PORMA T ";tPaper 0 AudJOvisual 0 Micrographic 0 EJeworuc (:' , g, T TAL QU1\NTITY (In cubic feel ornumber of iLems), [2) Cubic feel: L 1 0 hems: JO. ANNUAL ACCUMULATION (In cubiC feet ar number of ilems), 9(CubiC feel: . L'. { 0 hems: 11. FREQUENCY OF USE, o Oady 0 Weekly 0 Momhly .~Seldom 12 RESTRICTIONS ON USE Type of i[ems: o Never yJ 1ft RECORDSARE 13. 0 IN POOR CONDITJON 14, ~. VITAL (EssemialLO opera Lions) 15. ~FFlClAL COPIES 16a NAJI-1E OF PERSON COMPLETING FORM., 'I, t'\ 1'" f'l. ~".' tq 't. ~....:., 1< {. W \ ,: e:\~ r <'"\. '. .. '.. . ',..I" New Y 6il: Scace Jlrchives r\ 16b. DATE "~1 ~ . I :i ~ 1 ~ r" 'I ....... GRS.2 (1212002) 92.7~~JS 92.'.6 cae