Box 167
Records Inventory Data Worksheet
I... Print Form. I
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
I Government Agency I/Own of W'a..pPI nge.r
II Department
Record Series Title I Gene.raJ ]Jisburseme.nf 2008
... .. .. .... m ...
Date Span I AUQus+ H,Z008 to Oc..+obetJ. .200S'.
. .. ... .. ...m.... .. .... . m. .. ..
Records Series "'Bats Det;+roy 20lli
Description
(describe content 60,( liP 7
and characteristics
of records)
.. .. .. ...... ... .... m . ... .... ...... mm ..... ..... ...
I Ac.c.o unti n 3
C Alphabetical
C Numerical
Arrangement . Chronological
C Alphanumeric
C Other (specify) I
C Not Scheduled Retent;on per;Od!
C Permanent
Retention
C Historic
. Scheduled Schedule # I 215 .11 Schedule IMU I I
..............-............... ..
Location I Car n lJ.) (1;+11
Format .Paper (' Audio-visual ('.Micrographic C Electronic
Total Quantity .Cubic Feet: (' Items Amount: I <. I .1 Type of Items: I
Annual _Cubic Feet Amount: I <:1 I I Items I \
Accumulation
Frequency of Use ('Daily C Weekly ('.Monthly . Seldom ('.Never
Restrictions on Use IN/A I
Records Are: In Poor (' Vital (Essential . Official Copies
(' Condition to Operations)
Name of Person Completing Record I Churl esKel V1 hard\"- '\ Date I Af'i'il 'I 2011 I
New York State Archives ~ ~.u,J~~ JCM (2011-01-05)