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Records Inventory Data \Norksheet
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Ta:GQVERNwrr/ AGENCY
llJ. DEPARTMENT/UNIT
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-13
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(D('$cril.J(~ content ,1TId c!wacteristics or rl:lcordr,)
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5. ARRANGEMENT
o AlphabetiCal 0 Numerical
~ Chronological
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/
/
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I
o Other (Specify):
5a. RETENTION '
o Nm scheduled ){ Permanent 0 Appraise for histOrical value
~ Scheduled retention: '
-f IJ ~ oO+v. tJu>>(~fJ) 6iYCi I if <I no !onqu ~i:si'5
6b.SCHEDULEANDlTEM NUMEER, QR.RBl\.SON.FORPRQPOSEDRETENTION
.y,[L17?Jo.-
7. LOCATION
~uft7
B. f9RMAT
~ Paper 0 AudiOVIsual 0 Micrographic 0 Electronic
S. TOTAL QUANI'lTY (Incubideel Drnumber of items),
~ Cubic feel: L ) 0 items:
10. ANNUAL ACCUMULATION (In cubIC leet or number of items)'
~ Cubic! eel: /..... 0 hems:
11. EREQUENCY OF USE,
o Daily 0 Weekly 0 Monthly 91Seldom
12. RESTRlCTlONS ON USE
14
RECORDS ARE
\13. 0 IN POOR CONDITJON
14. 0 VfT/'.L (Essential to operations)
115. 1@ OFFlClAL COPlES
15a. NAI OF PERSON COMPLETING FO
Type of items:
o Never
16b. DATE
U-aD10
GT'S 2 (12.120021
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