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Records lnventD~y Data V\T orksheet
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1a GOVERNMEI\r'/'/AGENCY
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2. RECORDS SERIES TJTLE
lb. DEPARTMEN'l'/UNIT
own CluJ-
3, DATE SP~
/0 aco?-- /~0a)~
4, HllCORDS SERIE5DESCRIPTJON (IJeilcl'ilw WIILt:nL i:lllcl chafW::LensLic5 or records)
.
5. ARJ<..ANGEMENT
o Alphabetical 0 Numerical
o uther(Specify):
/61l. RETENTION
o NOt scheduled 0 Permanent
I
, ~ Scheduled retentlon:
U~
6b. SCHEDULE}\:ND lTEM NUMBER, OR.REJ\SONJlDRPRaPOSEDRETENTION
~ Chronological
o Juphanumeric
Cash ;agr3kr - \-
lopes {~~~s} 4-l)KJlL i2J-u-<fJ
o Appraise fDr histOrical value
,. ~5!J
7. LOCATION
,8. FORMAT
i Poper 0 Audiovisual 0 Micrographic 0 E1ecU"onic
19. TOTAL QUANTITY (lncublc feel ornumLJer of ilems),
~CubiC reel: L 0 Items:
10. N~NUALACCUMULATION [In cubic feel or number of items),
~Cubicleel: LI 0 hems:
11, .FREQUENCY OF USE:
I 0 Daily 0 \1\' eekly 0 Monthly 0 Seldom
l2. RESTRICTIONS ON USE
Type of items:
li Never
f\J~
RECDRDS .ARE
113 0 IN POOR CONDITION
14. 0 VITf.L (EssentIal to operaliuns)
i15.1zV OFFlClAL COPIES
/162, NAME OF P- RSON COMPLETf!_ 0
I /
16b. DATE
)J- /Lo ,Oar.
GPS 2 (12.'20021
SJ. .7!fD2~ B~H4 6 coe
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5, ARRANGEMENT wfChrono\ogical 0 Alphanumeric
o Alphabetical 0 Numerical
o Ocher (Specify):
6a R.ETENTION f h' . lie
o Not scheduled 0 Permanent 0 Appraise or IstoflCa va u
~Scheduled retention: U ~
6b, SCHEDI:lU~NDITEM'NUMBER. ORJilihSON.FORPROPOSEDRETENTlON
1. [85IJ
7. LOCATION
o Electronic
8, FORMAT
~ Paper 0 Audiovisual 0 Micrographic
g, TOTAL QUANTITY [In cubic feeL ornumber of Items),
~ Cubic feel: L \ 0 Items:
10. ANNUAL ACCUMULATION (In cubic feel or number of items),
){CubJCfeeL: L \ 0 hems:
11. J7R.EQUENCY OF USE,
o Daily 0 Weekly 0 Monthly
In RESTRl'rJI~N USE
RECORDS ARE
13. 0 IN POOR CONDmON
14. 0 VITAL (EssentIal La operauons)
15. 1: OFFlCIAL COPIES
16a NAME OF PERS ]oJ COMPLETING FORM /
TYP8 or items:
o Seldom
tld"Never
16b. DATE
q, ~ .09
GRS.2 (12'2002)
927992592.145 coc