Box 39
Records Inventory Data Worksheet ~D Y... :) ~
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
I.'. j?iMtW~rmuul
Government Agenc~w(\.",
Record Series Title
Date Span
Records Series
Description
(describe content
and characteristics
of records)
Arrangement
Retention
Location
Format
Total Quantity
Annual
Accumulation
~D\b
~QXU1--
~
c
Alphabetical
/~~?l)
c
Numerical
//
I
Chronological
C Alphanumeric
c
c
Other
(specify) I
Retention p"IOdl~mj)~
Not Scheduled
c
Permanent
C Historic
CQ/ Scheduled Schedule #
(t~w,~,u,u..,.
I Schedule
I
Q-f'aper
--. -I
CAudio-visual C Micrographic C Electronic
~biC Feet:
Amount: I\..
L
[
I ~ever
C Items
() Cubic Feet
Amount:
Frequency of Use () Daily
Restrictions on Use
Records Are:
C, Weekly
A
In Poor
C Condition
""..,Vital (Essential ~
l' _, Official Copies
u to Operations)
Name of Person Completing Record tTv\~
New York State Archives
Date I
JCM (2011-01-05)