Box 40
Records Inventory Data V\Torksheet
See jl IstnH;.iulI!.; jl' publicatiol 14/76, J/JIllHJtWY CIIJ(J PJfJll/Ji/J9, lJdol'l' curnpJelillf) dli!.; funJl.
lu. GOVERNMEi'JT/AGENCY
~ OW (\ cJ
2. RECORDS SEfUES TJTLE
R e. Cor61
3. D^TESPAN
lb. DIlPJlRTIvIEi'J'JI'UNJT
Rece',JtY O~~ ~.e.o
G~ f{J~rr
D"Sl~ OV\
J) UJ me.n+a../1 a ill
4. RECORDS SEfUE,sDESCfUPTION (IJescribt: conwllL ,lnd c!Jaracwrislicr; of recDrds)
DO~Y D
Documeu\"\oJ1CY'. oJ ~~cJ1 d'~f'os;-hon cJ' ~<d-J,
d-e Sex' b:tj IZe CO'cSJS dtS posd a cf -l- vn,,-~
C-\:nJ daf-e.. oJ d..\Sposd-;on
\ ~ ,qq ~ \ d. \d-<1)() ~
5. ARRANGEMENT
o AlphabetiCal 0 Numerical
o Other (Specify):
6a. RETENTJON
o NO[ scheduled
~t:hronoI09ical
o J\Jphanumeric
RScheduled retention:
o Appraise for hismrical value
(fOI-[)
o PermanenL
6b. SCHEIJULEAND ITEM NUMBER, OR.REl\SoN.FORPROPOSED.RETENTIoN
(~ [3g]b
7. LOCATION
D,s
,-+10(\
B. FORMAT
"!L Paper 0 Audiovisual 0 Micrographic
9. TOTlIL QUl\Nfm' (In cubic feel OI;number of items),
')If Cubic feel: <: \ 0 hems:
10, N~NUALACCUMULATION (In cubic leet ornumbel' of items),
)S. Cubic feel: <(,. l 0 hems:
11, .EREQUENCY OF USE,
o Daily 0 Weekly
]2, RESTRlCTlONS ON USE
o Electronic
o SeldolTl
o Monthly
jVPt
RECDRDShRE
13 0 IN POoF CONDITJON
14 0 VITJIl. (Essential to operations)
15. ~OFF.lClAL COPIES
\16a, NAME OF PERSON COJvIPLETING FORlvi '.
\ . ~~0iX2
New Yark Slat'.: J\rchiv~s
Type of icBms:
'Xl Never
16b
GTZS.2 (12/2002)
92.nlD:..!5 9L-lllf) cae