Box 48
IT
-BoxY t
Records Inventory Data W orlc.sheet
See instructions in Publication 1/76, lnvenwIY and Planning, ber ore completing chis form.
1a. GOVERNMENT/AGENCY
1b. DBPARTMENTIUNIT
--r ~f1 oJ' LJ
2. RECORDS SERIES TITLE
~oU ~eQ(
dO\~
4. RECORDS SERIES DESCRIPTION
dO ~ ~ tlc:J-V{ V\ d
3. DATE sp]\N
OD((
CD escribe content and characteristics of records)
001" eo cP- pGL/d +~ .6\ I {s
/Ze,dry IQY ~11 L ikp~:';{ po..iJ b;j\s-+-
~ f!Lportr
5. .ARRANGEMENT
o Alphabetical 0 Numerical
o Other (Specify):
Sa. RETENTION
o NOt scheduled 0 Permanent
~)eduled retention:
~ronological
o Alphanumeric
o Appraise for historical value
~ yrs
Sb. SCHEDULEJ\ND ITEM NUMBER, OR.REASON.FORF.ROPOSED.RETENTION
7. LOCATION
M u ~ l
CaVVl
C5C1!
A
B. FORMAT
~aper 0 Audiovisual 0 Micrographic
g. TOTAL QUANTITY (In cubicfeel ornumber of items).
~ubic feet: t 0J ft 0 Items:
10. ANNUAL ACCUMULATION (In cubic feet or number of items),
o Cubic feet: 0 Items:
11. .EREQUENCY OF USE,
o Daily 0 Weekly
12. RESTIUCTIONS ON USE
o Electronic
Type of items:
AlfJJ
o Seldom
'JQ. Never
o Monthly
NA
RECORDS ARE
13. 0 IN POOR CONDmON
14. 0 VITAL (Essential to operations)
15, ~FFlClAL COPIES
16a NAME OF PERSON COMPLETING FORM
16bi :1dcf0 0\ I
New Y or\: State hrcbives
GPS2.{1212D02)
92-7992592-145 cor: