Box 162
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Records Inventory Data Worksheet
See insuuccions in Publication #-76, Inventory and Planning, before completing chis form,
la. GOVERNMENT/AGENCY
1 ~~'v'- t\\ Wi-..
2. RECORDS SERIES TITI..E
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3. DATESPAN
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4. RECORDS SERIES DESCRIPTION (Describe coment and characteristics of records)
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lb. DEPARTMENT/UNIT .\.
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5. ARRANGEMENT
o Alphabetical 0 Numerical
o Other (Specify):
6a. RETENlTION
o Not scheduled 0 Permanent
~cheduled retention: 10
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~ Chronological
o Alphanumeric
o Appraise for historical value
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6b. SCHEDULE.l\ND ITEM NUMBER, OR.R.EASONFORPROPOSED.RETENTION
7.
8. FORMAT
~Paper 0 Audiovisual 0 Micrographic 0 Electronic
9. TOTAL QUl\NTITY (In cubic feet or number of items),
o Cubic feet: .J(ltems:
10. ANNUAL ACCUMULATION (In cubic feet arnumber of items),
o Cubic feet:
11. FREQUENCY OF USE,
o Daily 0 Weekly
12. RESTRICTIONS ON USE
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RECORDS ARE
13. 0 IN POOR CONDmON
14. 0 VITAL (Essential La operations)
15. ~ OFFICIAL COPIES
16a NAME ~\ERSO~ COMPLETING FORM
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New York State Archives
Type of items:
ems:
o Monthly
o Never
16b. DATE
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GRS.2 (1212002)
92.7992592')46 CDC
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