Box 169
Records Inventory Data Worksheet
I ~_, ,'print Form '. J
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
I Government Agency 11Own,ot\\!a.pPli'lge.r
II Department
Record Series Title I Ge ne,ra,J 1) I sb IJ r$el'n e. nf 2008
..
Date Span t..I .L-r 411-... ZOO 8 +0 1>ee,embl!..... 22,20(>g'
, . ....... ... ...
Records Series -gills 'Det;-b--oy 2 0 1 J.t
Description
(describe content B 0,( llo1
and characteristics
of records)
. . .. .. m ... .. ... ..... ... ... ..
I Ac.co \Anti ns
(' Alphabetical
(' Numerical
Arrangement . Chronological
(' Alphanumeric
(' Other (specify) I
(' Not Scheduled Retent;on per;Odl
(' Permanent
Retention
(' Historic
. Scheduled Schedule # I 275 .11 Schedule IMltl I
Location I Ca.rnwcd'~
Format .Paper r Audio-visual ('Micrographic r Electronic I
Total Quantity .Cubic Feet: (' Items Amount: 1.( , .1 Type of Items: I
Annual .Cubic Feet Amount: I <I I I Items I I
Accumulation
Frequency of Use (' Daily C Weekly rMonthly . Seldom II C Never
Restrictions on Use IN/A.
.
Records Are: In Poor r Vital (Essential . Official Copies
r Condition to Operations)
Name of Person Completing Record I Churl eS "'Re', t'l hardt- '.1 Date I AJ>r-il 1, 20 II I
New York State Archives ~~~~ctr JCM (2011-01-05)