Box 154
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'5'1
Records Inventory Data Worksheet
See InStrUCClons in Publication #76, fnvenwry and PJanrung, before complecing this form.
la GOVERNMENT/AGENCY
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2. RECORDS SERIES 'I1TI.E
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lb. DEPARTMENT/llNIT
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3. DATESPAN
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4. RECORDS SERlES DESCRIPTION (Describe coment and characteristics of records)
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5. ARRANGEMENT
o Alphabetical
~ Chronological
o Alphanumeric
o Numerical
o Other (Specify):
6a RETENTION
o Not scheduled 0 Permanent
~cheduled retemion:
o Appraise for historical value
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6b. SCHEDULEAND ITEM NUMBER, OR.REJ\SONFORPROPOSEDRETENTJON
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7. LOCATION .
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B. FORMAT
~aper 0 Audiovisual 0 Micrographic 0 Electronic
9. TOTAL QUJ\NTITY (In cubic feet arnumber of items),
o Cubic feet: )t(Items:
10. ANNUAL ACCUMULA110N (In cubic feet arnumber of items),
o Cubic feet: ~Items:
Type of items:
11. .F.REQUENCY OF USE,
o Daily 0 Weekly
12. RESTRlCTIONS ON USE
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RECORDS l\RE
13. 0 IN POOR CONDmON
14. 0 VITAL (Essential to operations)
~OFFlClALCOPIES
16a NAME(O~ERS~~ COM.P~G FO~ :'
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~ Seldom
o Monthly
o Never
16b. DATE
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New Yark State Archives
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GRS.2 (12/2002) \ ~ lJ 'X '
927992592.'46CDC .., 5-'1