Box 168
Records Inventory Data Worksheet
Print Form . .1
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
Government Agency /Own ot . Wq.pPlnqe.r 'I I Department I. Aceo w1+i ns I
.. ....
Record Series Title I G e ne.,rcd 1)1 sbun;eme.n+ 2008
... . . .. ..
Date Span I Oc:-tob~r g ,2.Qpg toNovemb~r'"21, )OPi
.... ..... . .. m ... ...
Records Series 13'1" 5 'Det;~Y 20ll.-\'
Descri ption
(describe content BDX 'log
and characteristics
of records)
... ... .......... m ...... .. ... m ... ... . .. .. m
r Alphabetical
C Numerical
Arrangement . Chronological
r Alphanumeric
r Other (specify) I
C Not Scheduled Retent;on pe"Odl
C Permanent
Retention
C Historic
. Scheduled Schedule # I 275 '.11 Schedule 1...~.Lt.1 I
...............--..--------........,..
Location ICarnWCL#\
Format .Paper r Audio-visual rMicrographic r Electronic
Total Quantity .Cubic Feet: r Items Amount: I <. I 1 Type of Items: I
Annual .Cubic Feet Amount: I <I . I I Items I I
Accumulation
Frequency of Use r Daily r Weekly r.Monthly . Seldom C Never l
Restrictions on Use IN/A. I
.
Records Are: In Poor r Vital (Essential . Official Copies
C Condition to Operations)
Name of Person Completing Record I Churl eS '"Re', VI hard\- I Date I A pr-Il " 20 II I
New York State Archives ~~~~~ JCM (2011-01-05)