Box 44
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Records Inventory Data Vv orlc.sheet
See instructions in Publication 1/76, lnvBnwIJ' and Plan{Jing, before completing this form.
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1a. GOVERNMENT/AGENCY
2.
3, DATESPAN
1b, DEPARTMENT/llNIT
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4. RECORDS SERIES DESCRIPTION (Describe content and characteristics of records)
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5, ARRANGEMENT
o Alphabetical 0 Numerical
o Odler (Specify):
6a. RETENTION
o Not scheduled 0 Permanent
\;l&heduled retention:
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~
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~onologiCal
o Alphanumeric
o Appraise for histOrical value
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6b. SCHEDULE.lI.ND ITEM NUMBER, OR.REhSON.FORP.RDPOSED.RBTBNTION
7. LOCATION
C SC\-S, CT-.~
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8. FO~T
Q"Paper 0 Audiovisual 0 Micrographic 0 Electronic
9. TOTAL QUANTITY (In cubic feet ornumber of items),
~iC feet: \ C':.-.0'. 0 Items:
10, ANNUALACCUMULA.TION (1n cubl eet OJ' number of items),
o Cubicf eet:
11. .F.REQUENCY OF USE,
o Daily 0 Weekly
12, RESTRICTIONS ON USE
RECORDS ARE
13, 0 IN POOR CONDmON
14. 0 ~AL (Essential to operations)
15. ~OFF1ClAL COPIES
16a NAME OF PERSON COMPLETING FORM
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Type of items:
o Items:
\J
Pr
o Monthly
o Seldom
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16b. DATE
New York Slale IIrc/llves
GRS-2{1212002)
92-79925 92-1~6 coe