Box 29
Records Inventory Data Worksheet
See instructions in Publication #76, lnvencory and Planning, before completing this form.
la. GOVERNMENT/AGENCY
lb. DEPARTMENTIUNIT
t> u.-) f) 0
2. RECORDS SERIES TITLE -/,
AO:S ?-OO "
3. DATESPAN
e.r
~P' !
, ,{} )0 (; ~" +"'.. L~'tt; ~AJ:)
4. RECORDS SERIES DESCRIPTION (Describe content and characteristics of records)
V)
r'\
(bU)~ K 2C10 R' IraU
. '2 ~ ("', I
". '''',' "~ ,t" ' C') V " <~ I
Y P VI L J /) CHA.j~ ~, .. ~ :,\.. ':'
ed.. I pp niP 1<0/0'.:) UU.J..AV.J :2 OC 7 - 7~
~. ,-'la.-*'-! Aoh ~V:h:u)
~ t'
", -("
...t',\" '; ~,
\ I '"-''' ~;#
;;J:oa
\ ,~,
o~ .
5. ~GEMENT
~thabetjcal .i~~merjCal
o Other (Specify):
6a. RETENTION
o Not scheduled 0 Permanent
o Chronological
o Alphanumeric
o Appraise for historical value
~ Scheduled retention:
G VQS ~C)tlf
6b. SCHEDULEJ\ND ITEM NUMBER, OR.REJ\SON.FORPROPOSEDRETENTION
,~.C2S~J
7. LOCATION
C Cl ,._" w ta..4., ~
B. FO~T
~aper 0 Audiovisual 0 Micrographic 0 Electronic
9. TOTJ\L QUJ\NTITY (In cubic feet ornumber of items).
~UbiC feet: 2-1 0 Items:
10. ANNUAL ACCUMULATION (In cubic feet arnumber of items),
~icfeet: 1-1 o Items:
11, FREQUENCY OF USE,
o Daily 0 Weekly 0 Monthly Seldom
12. RES1RlCTIONS ON USE
f\.-\ r fl-
Type of items:
o Never
RECORDS l\RE
13. 0 IN POOR CONDmON
14. 0 VITAL (Essential to operations)
15. )(OFFIClAL COPIES
16a NAME OF PERSON COMPLETING FORM
16b. DATE
~~ ~. BowV'
New York 'State Archives
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GRS.2 (12/2002)
92.7Q925 92,146 CDC
