Box 04
Records Inventory Data Worksheet
.'P,rill.t:Fonn
~.
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
Record Series Title
I. R.2-C!Q,
........ Government Agency ,____QWO.O"l"
Date Span
L
.. .~D'...-........
Records Series
Description
P LR'l&RO U tV 0 ~t.G-\ S iAA\\ 0 rv-S ~ A (J iPL \ M \) 0 p\j S .
(describe content
and characteristics
of records)
........
/-
C Alphabetical r
~. \'J
C Numerical
Arrangement r: Chronological
C Alphanumeric
C Other (specify) I
C Not Scheduled Retention periOdl
C Permanent + y K ~
Retention ---- ."- --..- "--"'-'-"--~ -.-..... . .- ,P.. .
C Historic
("' Scheduled Schedule # I E__f_..5.~~j.._'!11 Schedule t___ .__.0... .... -.-- .. n_ -I
Location leAR \JW 1\ -Y/l
Format ~er r Audio-visual CMicrographic C Electronic
Total Quantity (' Cubic Feet: C Items Amount: I Type of Items: I
-., -.. ~- .",- .....
Annual ("'Cubic Feet Amount: L.... .......1 Items I'd
Accumulation .. ~. . ... . '.-- -.,.......-.- -. ~~-_. -... _.. - .-._~. - - .. ...._-... ..._._ ._._.._n _._
Frequency of Use ('Daily r Weekly (\Monthly ~ Seldom ONever I
II .
Restrictions on Use IN/A
. ---_._-- ..-...-." --.. ...----_."_.-... -,.. _..,~._._..... .. -_.._._._._.....~... ___....u_____ __
Records Are: In Poor r Vital (Essential C,Official Copies
r Condition to Operations)
Name of Person Completing Record ftOf\ f\CLLQ...f\\f\o.r1 :1 Date I -J\U~.\ ~o\l "
. ..
~J
'-'"
New York State Archives
JCM (2011-01-05)
P,ri rit:FOrt:n;1
Records Inventory Data Worksheet
See Instructions in Publication #76, Ulnventory and Planning", Before Completing Form
~
Government Agency I TOLLYl off .lA J\()~I)QQ...[ .'1 Department I.. .8--Q.,.<:-: -f'<L<L.-t\o .\,C\ .. . ..
Record Series Title I L\J'(\t.S~l::..~\-..~.
.'."--,. ...._--~ .. ._---.----.'-. ....--..........------ ........ .- _.....~_._---_._... .. .-."--.-- ....---..... _.....- -- -.- .. ."-- - .. -..- -. ~'''_...''
Date Span L ~OO~..-
.---....--.- ... "0- _._._._.........__ n____.____ __ u...__.... __.__... -,." ... _.__.._._......_m_..~~__...._.. __..._,__.......__ - ....., 0'_' _ ___n_ -..... . ... ,_"n"_'.___._,' .__.._ -,. ..___n'
Records Series ern P LO''} t-. t ~ NleSK &.. ~\ ~
Description
(describe content
and characteristics
of records)
... ..... ................ ._n 0_'____'" ...-- ... ...__.m.._...___"_~_, ... .... ............ ... .---.-- .. ------. . ......
'-'
C Alphabetical 6JJ
(' Numerical
Arrangement y Chronological -
C Alphanumeric
C Other (specify) I
C Not Scheduled Retention periOdl
~+ II rs
C Permanent
Retention ._. ._n. ... ..."..' . ..---.-" . .-_...,... . .,_.n.._.
C Historic
C Scheduled Schedule # 15_:_E~~ ~} ] II Schedule L.__ _... j
-.-- .. -
Location LC-,t=1R\-Jw~1t-\ .
Format ~aper (' Audio-visual CMicrographic C Electronic
Total Quantity C Cubic Feet: C Items Amount: I .. .......: I Type of Items: I
.- .. -_....-
Annual C Cubic Feet Amount: I. . H __i1lltems I H .1
Accumulation -- . .......--- _......_-~. - ..-------..- .
Frequency of Use ('Daily r Weekly OMonthly tt1Seldom ONever
..I' I
Restrictions on Use IN/A
.. - ." ~-- .. h_._._" ,__.... ... --." "--'---' ...-.---'--. .. ....--..- ._-~. .. -....-.. .-......
Records Are: Ii In Poor r Vital (Essential COfficial Copies
r Condition to Operations)
Name of Person Completing Record l~d(\f'CL... J~[)hrl.rt. ;1 Date I -~AU6- J .~Ol \ I
. .-,'
'-"
New York State Archives
JCM (2011-01-05)
~.rillt':Form.' .~;I
Records Inventory Data Worksheet
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
"-" Government Agency I Ta
Record Series Title
\
..'=\C\QC
Department
PAc~Q\\o.' .
Date Span
. Am LeI." c:....PR()6...~. m
L. d-.oo$.----. .
RE. G--\S)TA.A:\\ 6 ;J to fl.m s . c', c .
----.......---......---.----......---..--..... ......-.-..-.....-.------....
Records Series
Description
(describe content
and characteristics
of records)
_' -0'.-- ..._ ____._____._,_..._~._._._ .--.-.,-~-.-.-.-.--..-.- ..-.--.--..-----.----.-.... -.,. ..
C Alphabetical
C Numerical
Arrangement ~ Ch ronological
C Alphanumeric
~ C Other
C Not Scheduled
r Permanent
Retention
C Historic
C Scheduled
c;; \/~)
(specify) r
Retent;on periodl
i-~P-~
__ . ....._ ..'. ,._..._____...'.'___ _m_'_ .,___.n_ ....__"__ .. _0."'_ -.....-
Schedule #
1....___ _.___.___ ._l II Schedule
[ -... ...-........ ...-" j
Location
I CPt R.~lJJ l'ill .
r~er r Audio-visual (',Micrographic C Electronic
Format
Total Quantity
r Cubic Feet:
C Items
Amount: I. ...
Type of Items:
I
L_
Frequency of Use r Daily
r Weekly
1\
CMonthly
H' ... ....J Items
~Idom
10 .
C,Never
Annual
Accumulation
C Cubic Feet
Amount: I.
Restrictions on Use IN/A
Records Are:
In Poor
l Condition
..:IDate I Au&- I ~OLI I
~CM (201 1 -01-05)
"-
New York Scare ArchIVES