Box 46
Records Inventory Data V\T orksheet
-Seeinstructiofisin Publication //76, Invemory 8(JdEla/J(Jing, before completing dU5 form.
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4~
la. GOVERNMENT/AGENCY
lb. DE? ARTMENTIUNIT
2,
3. DATE SPAN
4, RECORDS SERJESDESCRlPTION (Describe content and
?- 0 \ \ / \ '";;l.. ~6....
~.~L4
~ctD-
~\tD
5, ARRANGEMENT
o Alphabetical 0 Numerical
o Other (Specify):
6a. RETENTION
o Not scheduled 0 Permanent
~heduled retention:
~nological
o AJphanumeric
~
~~
o Appraise for historical value
6b. SCHEDULEAND ITEM NUMBER, OR.REhSON.FOR.PROPOSED.RETENTION
7. LOCATION
c: 5q~~ t\
B. FO~
~aper 0 Audiovisual 0 Micrographic 0 Electronic
9. TOTAL QW\Nl1TY (In cubic feeL arnumber of items),
0Cubic feet: \ w' 0 Items:
10. ANNUAL ACCUMULA nON (In cu . feet or number of items).
Type of items:
o Cubicf eet:
o Items:
0\A-
11. EREQUENCY OF USE,
o Daily 0 Weekly
12. RESTRICTIONS ON USE
o Monthly
o Seldom
.er
A
RECORDS ARE
13. 0 IN POOR CONDmON
14. 0 yrJAL (Essential to operations)
15. iZ OFFICIAL COPIES
ON COMPLETING FORM
,...",
16b. DATE
GRS-2{12J2002)
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4l.o
Records Inventory Data VV' orksheet
Seeinstruccions ,in Publication 1/76, lnvenwry and Pia/wing, bef Ofe completing thIS form.
la. GOVERNMENT/AGENCY
1b. DBP ARTMENTIUNIT
2.
3. DATESPKN
4. RECORDS SE
~
TION (Describe content and characteristics DfrecDrds)
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;)D\\ f-v SCX\t::D\ -:J"'^f
'-fJo.J. t>.. Jp; QD cl.
-'
6. ARRANGEMENT
o Alphabetical 0 Numerical
o Orher(Specify):
6a. RETENTION
o Nyheduled 0 Permanent
~cheduled retentiDn:
~nDIDgical
o Alphanumeric
o Appraise fDr historical value
\0 ~~
6b. SCHEDULEJ\ND ITEM NUMBER. OR.REA.SON.FDR.P.RaPOSED.RETENTION
{'<\ \) --- \
7. LOCATION
c
~
B. FORMAT
~apeJ 0 Audiovisual 0 MicrDgraphic
9. TOTAL QUl\NI'ITY (In cubic feet arnumber Df items),
~biC feet: " 0 Items:
o EleCtronic
10.
f'r
eet or number Df items),
o Cubicf eet:
o Items:
11. .F.REQUENCY OF USE,
o Daily 0 Weekly
12. RESTIUC110NS ON USE
o Monthly
o SeldDm
0\f'
RECORDS ARE
13. 0 IN POOR CONDmON
~~'. ~~~~;;~to Dperations)
15a. NAME OF P'" ON COMPLETING FORM
....
~~ ~D~ I
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\o~
~ ~~t5 ~ (\-
Type of items:
~
16b. Di'.TE
GRS2{12/2002j
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