Box 38
Records Inventory Data Worksheet
6b" 3<6
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See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
Date Span
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Government Agency Ip~C)\j){\pp..
Record Series Title
Records Series
Description
dDD~
~~
~
(describe content
and characteristics
of records)
C Alphabetical
C Numerical
Arrangement ey/ Chronological
C Alphanumeric
C Other (specify) I
C Not Scheduled Reteot;on ,.,;Odl ~
~~
C Permanent
Retention ....n....................
C Historic
Scheduled
Schedule #
I f<'\ \j -- \
I Schedule
r \. L ~~:,.31
Location
~
lCU\.X\\).}o.v..
~per
CAudio-visual
C Micrographic
Total Quantity
Q"tubiC Feet:
Cltems
L
I
I ~ever
I
Format
Annual
Accumulation
()Cubic Feet
Frequency of Use n Daily
Restrictions on Use r
Records Are:
In Poor
C Condition
r-" Vital (Essential
~.'to Operations) (V'6fficial Copies
Name of Person Completing Recor4S\A~
New York State Archives
Date I.
JCM (2011-01-05)