Untitled
Records Inventory Data V\Torksheet
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r la. cclvERNM.Ei\rrl AGENCY
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3. DATESPAN
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4. RECORDS SERIES DESCRIPTION (IJescl'iu{, cOfllenL (.lfIcJ chamcteristic5 or r/,!cord5)
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1ll. DEPARTMENT/UNIT
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15. ARRANGEMENT
o Alphabetical 0 Numerical
o Other (Specify):
5a. RETENTION
o Nm scheduled ~ Permanent
~ Scheduled retention:
-t tJ; ~'/J.) 0.[;10' bu;1Ci.in Cj 0' -b~ n (] J...o~ JJ.,UJ21+"S.
6b. SCHEDULEJ\.ND ITEM NUMBER, QRJlE}\.SONFORFROPOSEDRETENTION
~ Chronological
o J\lphanumeric
o Appraise for historical value
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7. LOCATION
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8, f9RMAT
~ Paper 0 Audiovisual 0 Micrographic 0 ElecLronic
9. TOTAL QUANTITY (In cubic Seet ornumber of items),
k Cubic feet: L ) 0 Items:
10. ANNUALACCUMULATlON (In cubIC feel arnumber of Items).
~ Cubicfeel: z... 0 Items:
11. .EREQUENCY OF USE:
o Daily 0 \/I/eekly 0 Monthly 9iSeldom
12. RESTRlCTIONS ON USE
Typo: of items:
o Never
1;4
RECORDS ARE
113. 0 IN POOR CONDITION
\14. 0 VITP.L (EssentIal LCi operations)
1m. ~ OFFlCIAL COPIES
16a. NAl OF PERSON COMPLETING PO
16b. DATE
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GT'S 2 (12/20021
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