Box 14
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P,rint'Eor.rn it
Records Inventory Data Worksheet
........
Government Agency 1_3:'OWAJ OF. W.tiP/}iM6R... Department tAt_CaM~n()J.J.--
, . ~ ,,'--'" ...-
Record Serieslitle t..___ mlJ e~___._._.._.._.. ...-.-..-.
- _....---......_--. -. ..-'-' . ----"-.-... -..--....-.-. .--.-'--- ..-- .-...---.-.--- . ...-.....--..--....-.....-.-.- --..-. ~._-. .--"---. ..
Date Span L _.._. ..__.._.is _f2._Q.~_=.saQQO .:s. -....--.
"'_ __._.._.._.._v______.._.._ - ...-' ~.._...- .---..--.. .------...~ -..-..-..----. ..--.' ~_.. - -_.~- --.--. .
(Y) fj P5 Pc f< T AI AJI tUG- TO T!JWAJ (J 12. () Pc I< TI€5 ,
Records Series flU /l P()SC-Sr
Description ShUt; FOP. I-! IS Tl) R. ( CA-L
(describe content
and characteristics
of records)
.. -"--'~-'- .-.-. ..---- - ...-------.--------..-..- .. .-----.-.- .... -------.-.--.----.--------.- --..-.-----.- .. ----.-..---.- --~-,-,---,-------"''''---'' ...----.--- .- .....-"'-- -.-----.
C Alphabetical
C Numerical
Arrangement C Chronological
C Alphanumeric
C Other (specify) I
-. - . - . .
C Not Scheduled Retention penOdl
C Permanent P,QJLJm~
Retention -- -- _._--_.._...._...~. -..-------. ----...------------.--- ----... -.--.-- ._.._-.-- .... -- .----.. ... .-'-- --
C Historic
C Scheduled Schedule 'it lLEk51J.--.-.-JII Schedule I -'
- . .. "
Location I CAiw Id.
_ __ ___._ W~J._- -,
Format fO.(p'aper C Audio-visual CMicrographic r Electronic
Total Quantity C Cubic Feet: r.1tems Amount: I Type of Items: I
..... ...-..-... -...-.--.. .
Annual C Cubic Feet [ ..--..1 L_~_.
Accumulation Amount: Items
-. ---'---'-'" -.----.-.--.-.--.. _n___"__ _.........~..-_...._-- ~ ..."--. -
Frequency of Use r Daily r Weekly II (';Monthly p-5eldom ONever
Restrictions on Use IN/A II II fl
-------- . ..-- --- -.- - ..- - ..-...__.. --- ~.. .-" ~_. ---- --.. .-"- ~.- -.. ..... .. .--....--. .._~ ---. .-.~-.- ,..- ...-.--- ~._---_.._.- ...- .-. ._~. . -~...-
Records Are: In Poor r Vital (Esse.ntial 00fficial Copies
r Condition - - to Operations)
Name of Person Completing Record I bo nn(LLQ]) h art ;\ Date I Ill) 6-Jd ~p .' ). 'I
._-..-..' - .- . ~..
JCM (2011-01-05)
'-"
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New York State Archives
P.rint:Form .. 1
Records Inventory Data Worksheet
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
,....
Government Agency I.IVWAJ. ClE W llEPlA.J/rtfL : I Department I . Bt,CBt/!} TIOAJ .. ." ....__....-..
Record Series Title I. H1STQl:lJ CB L.._.?2cC. Um.Ey._.rS..
..~."".._" . .....---.. . ..__.n .__. -.-.. - --_...~_.. ---~ -- --.-
Date Span L. 19.6.QS - .. cl.DOO..s
-..... ---~ _ .~. ....___ _4...___~ . .n _ ...._.~ - - .. ... -. ...
rtP,Tl9n.J1 vCr nJ tt &1!..6Vsro/lJtj fI /6-l-!-r-o FpUJ ~YL .
Records Series CItR..AJ w IVrn W.~LjL/~ PJ9TH; C~S/L.E ~/,{) I ( .
Description {]U lET flt:j2 es{. C;...IELSEfJ IJ()C~ , j( EE5Cj C~ iJ6~J2R.~
(describe content ---HILL, (f)/V R. rt:: I J(t I CH.~ In raW /tJ OlJf3 D l V IS i () A.1
and characteristics
of records)
I. . ..... ... ___... ...._.. _h .._' P'" .._____...______.........._..___. -~._- ____.____._. ._._.___ _M .._._________ -. .._.._---_._,~ ----.- - -....,..-.,--..- -- ......- - --.- .- _'n
~
C Alphabetical
C Numerical
Arrangement C Chronological
r. Alphanumeric
l --
I~ Other (specify) I
-,- ~ ..... . . -..
C Not Scheduled Retention periOdl
PeRm /VAle --
C Permanent AJ I
Retention _...~. . .-.. ... u_.._, h___ -.. --,.-." ...'" u_____ m ....- -~ .. .,-- ....-...-."..
C Historic
(' Scheduled Schedule # I ! II Schedule I ---- :1
.. -------_.-.~- ---------- --- ---------
Location ICAR).,) Wl9J1{
Format ~aper r. Audio-visual ('"Micrographic C Electronic
Tota'l Quantity r- Cubic Feet: r Items Amount: I ., Type of Items: I.... I
......-.. .. .. .....-.....- ..
Annual (',Cubic Feet L ~ Items I I
Accumulation Amount:
. - .._-~ .~.~.._._.. +, .. 0-_'-_-'--' . .. - _.'.- ...'----'-'+ .. .. ..
Frequency of Use ('Daily (' Weekly ('.,Monthly c6eldom II C Never
.
Restrictions on Use INI~__... .:1
.. - ,_'n" __.~.~__.. .... .-.- - .. -+", ..~. -.-- .Oh""""-P""'" .----.--...-.- ..------",...- _...-.- .----.......... -- a._ _0-.-.----.- 'P p' . ...
Records Are; In Poor r Vital (Essential ~cial Copies
r Condition to Operations)
I . ~ I Date 1t0J lj(}.d. _~.
Name of Person Completing Record 1JJnn(L. .unhart- oZO Ii
. ..-.....-. .......- .. ... ... .. .""_. . ~ . ."
~
New York State Archives
JCM (2011-01-05)