Box 170
Records Inventory Data Worksheet
L. Print Form I
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
I Government Agency l-rown of Wa..pPI l'\ge.r
II Department
I Ac.c.o unfi ns
Record Series Title t Gene.ra.J Dlsbursemenf 2008
'm ...
Date Span 11>~cet'hhe.... 31L200itpfi.br~ary .1 ',. ZOO'}
.... .m. .. . mm . ... .... ... ... ...
Records Series "'Bin 5 'Det;-h--oy 2 0 l J.t
Description
(describe content 80)( J70
and characteristics
of records) I
I m .. .. ... ..... . m ..m .. m.. . .. ... m . .... .... ..
(' Alphabetical
(' Numerical
Arrangement . Chronological
(' Alphanumeric
(' Other (specify) I
(' Not Scheduled Retent;on per;Od!
(' Permanent
Retention
(' Historic
. Scheduled Schedule # I 215 '.11 Schedule IMLtl I
"..........--------....--..........
Location ICa.rnw(d..~
Format .Paper (' Audio-visual ('Micrographic (' Electronic
Total Quantity .Cubic Feet: (' Items Amount: 1< , .1 Type of Items: I
Annual .Cubic Feet Amount: I. .(1 I I Items I I
Accumulation
Frequency of Use (' Daily (' Weekly ('Monthly . Seldom (' Never I
Restrictions on Use IN/A
.
Records Are: In Poor (" Vital (Essential . Official Copies
(' Condition to Operations)
Name of Person Completing Record I C hQrle.s '"Rei Vlhardr '., Date I Apr-.l I, 20 " I
New York State Archives ~~~~d'Y JCM (2011-01-05)