Box 16
~I(()
Records Inventory Data Worksheet
~f
I ) .,P,rll)t!f911't1,~.n
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
Government Agency I 1j ofw 11' .\ \ Department L8?C~tttl1 Q_!.tl- ---.---
._OWIJ-.- ____~YlrlX)IlC-.- .- ...... . ....-..-.---.-
Record Series Title L /i}J-A)vftL-n-i!-,f;P-OB..r~-----._----~ :c
- ..._ ____m_.___n___"'__'___ ..,---~.,--_.- _.._ __ __"' n_ ___ -~--_.-.~ --..------ -... .
Date Span L_I~9~ _'QlQ02 _ ---------- --. --- -----.------- ------ -- ------- -
--- ....- -- .--.'---"'-'- _._..__..~ ..-- _.n._ .-. ~ ,.-----. -~--_.. - --
R, ec.R tJV 17CJAJ wrnmISS,l1/') Q./) (} Ua.J t/'i-f ar+.s .
Records Series
Description
(describe content
and characteristics
of records)
-...... ....m___. ._ ..___ 'U" ...---.-...-..--.-....-. ". ._____.._.._.. __ . u_. _ _ .__.. ___ . .._____....__________.. __.______ .".,.._____~...._.._.. _._._......_.______.__ -.."-' -,---'-"'--'-"'. .__.n' -----....~.-_.~ - -.-. ---......,. '. --
C Alphabetical
C Numerical
Arrangement <?'" Chronological
C Alphanumeric
r Other (specify) I _
r Not Scheduled Retention period!
0" Permanent Pe. I'mM-tn r--
Retention ...__.___..' ___n~ . '...~____.~. .__._._.,._.___.. __ - ._.. n' _'m -~ ..-. .._-..--.-_. - - -- . -_.-0"
f?: Historic
C Scheduled Schedule # L~l y.._;_rt':(.__.H' II Schedule I 'I
.__.........__. ...__,.__ .______ ._. _... ..._ ....._. __. ___ ......._...i
Location In r.,d'f\' I ,N] b
Format ~per r Audio-visual n Micrographic C Electronic I
Total Quantity r, Cubic Feet: r Items Amount: 1___. . Type of Items: L...
. .--. ..-.-, ---.......-.- .....-.- .. .--"
Annual ("-Cubic Feet Amount: I ] Items L_
Accumulation - - .-_.. .' -.--.-.-.,.--...-.... ...-...-,.-....
Frequency of Use ('Daily r Weekly lr.Month'Y ~eldom 110 Never
II II II
Restrictions on Use IN/A I
....-. . ,,,.-,..' ,,' - . au. '._ - -
Records Are: In Poor (" Vital (Essential ~cial Copies
r Condition to Operations)
Name of Person Completing Record rtlrt\. fUL,- U.,VlllltJr-t .\Date I I--:S ,../1 I
JCM (2011-01-05)
New York State Archives
Records Inventory Data Worksheet
U\:Wrl[l~)f9r!il)~-ll
Govemmen, Agency fro mllof _W&_i>Pl~ __ _ :\ [ Departmen' LR.~n"J,J-- .-. ....~.
Record Series Title Lc.~lI.I"]}l~tucal.,-- -- ~
-.....-.--- . ...'--..~_. ... ----- - -- -- -
Date Span --:
C_... m ..J99 .~.._2A~-~ - --------------------------- .---------------
_._._....__.,...__.~.____.. .n ____ _ ____ _r~ - ---
floc r ~ (j-Q.e>/ ~'1l)/J ~ R.~~ R:i; zoo t -U,; TOR..I c.,
Records Series . ~C)O I 8' ,.rr .A pPt-\L.A'ndV r JJ~H
Description ra..E:.~~t.V'A-nQ N PA..OTtCl 6-Q..fr
(describe content ffi ~ S,.-tR. PLAU .tD(P'?' r
and characteristics
of records)
-_.-~- - ---.--'''-
See Instructions in publication #76, "Inventory and Planning", Before Completing Form
C Alphabetical
C Numerical
Arrangement rV" Chronological
,
C Alphanumeric
(' Other (specify) r _ -
r Not Scheduled Retention periodt ___ -c
0 Permanent P tR (f)AtJ t, tJI
Retention --- .'_ __._.- _____m._.._._._..~..,._.__..._.,_.__' .--'--' ... ,.-.." ..
IcI Historic
r Scheduled Schedule # L~L,-Q----------J [schedule L____ -----.. -J
---_..._~--
Location f(',"_A_"~
..LI]o.1 .'\u.J I ." .
Format I ~paper r Audio-visual C- Micrographic C Electronic
Total Quantity r-Cubic Feet: r Items Amount: r ___ . Type of Items: L
." .. ..---...---... ~.._. -. .- - ..-...-- .-..... .-_."---
Annual r-Cubic Feet Amount: f ----~: 1- ~
Accumulation Items
__on. _.~.__ .. . .---_.._-.
Frequency of Use rDaily ( Weekly IlnMonthly If?5e'dom c' Never
JI . ~ ...II
Restrictions on Use IN/A ]
.- --
-
Records Are: In Poor r Vital (Essential ~Official Copies
l Condition to Operations)
~I ...... r
Name of Person Completing Record r~()nCL. LWhllt ~ \ Date l-.> -I 2- I
JCM (2011-01-05)
New York State Archives
---~-~~-,-------_._~..__..---
Records Inventory Data Worksheet
I :,\~.,P.(i@f9rm;;'U
Government Agency 1_~C)wOCF-W~ePJ}X8-J \Department LReCREJlnmJ--. ,~.
----..---. -----. ,-
Record Series Title LQ..A&lLU1rH _Jtc.i?lH&.5- ,------------- ,- ---~
.'-'-~ ..-....-..-.....--...--.---..- .. ~_._- -'- ..---.---------- - ---.. -- .+"
Date Span L . aoOb ___d~
._.. . n_'_" . _.~ _. .'. ___._......__ '.H____.._._...._ --_.-- -.-....--------.-- --- .-...-..- .' .__ .______.__.,..~__.,____.m...__.. ..-.----~...._--.-.---..--,...-----...--.-....---- - " u_.__ _~___.. --,--. ,'-' -. ...--0 -~....
RcbO\u'\{OO ll.U+nor,~llg ~C:h rt..~\r a.~ uJ<L\ \ o..~
Records Series fOI'c.nG..:>L 0" dar"'. \co 0 I c..l!. ~, It;tc...
Description
(describe content ,",~\
and characteristics
of records)
__n ...- ...-..--.-",. ........-----..-...-- " " -'
See Instructions in publication #76, "Inventory and Planning", Before Completing Form
C Alphabetical
C Numerical
Arrangement V Chronological
C Alphanumeric
r Other (specify) r . ,
r Not Scheduled Retention per;odL "
cI Permanent .' ""_....,.f'~rm(^(\.~"'t..
Retention ,-
Ie( Historic
r Scheduled Schedule # {~.{,J!3:--'-'_--d.-d: \ \ Schedule I 'I
r Qo.r('\Wo..~ . .~__ ~__.~._...__...___ .______ _" - _' __. ____...____u .___...-
Location
Format I~aper r Audio-visual CMicrographic C Electronic
Total Quantity C Cubic Feet: r Items Amount: r Type of Items: L
....-- .. ..~. .- .--....-' -...... . ---
Annual C' Cubic Feet Amount: L. J t._ ,-
Accumulation Items
_....__~. 0" .__.u______ ...--,-,.- . .--.-....- ..'
Frequency of Use rDaily ILr Weekly 1 p Monthly ~~eldom C,Never
.II " JI I'
Restrictions on Use IN/A
......--." . -...---..--' .---.-......-. - ...
. I
Records Are: In Poor r Vital (Essential VOfficial Copies
r Condition to Operations)
Name of Person Completing Record I hD r\Y\&. li,~hOCt- ,\ Date r ~5-12-- \
JCM (2011-01-05)
New York State Archives
------------- .~-,--_.--.~_._--_.._..-._--_._--_._.-
Records Inventory Data Worksheet
I ;;'P'flri'tWorrn.L~
See Instructions in publication #76, "Inventory and Planning", Before Completing Form
:::::::A::q f=a~~:~e~=~~:e~art~e:__-=R~-~~~~=~=.. ...-...-
Date Span L _a~l1?=dDa1:--- -- ------------- -- -=<
Se.. €:.. 0-'00 V L
Records Series
Description
(describe content
and characteristics
of records)
C Alphabetical
C Numerical
Arrangement C/ Chronological
C Alphanumeric
(" Other (specify) I :
.. . ..
C Not Scheduled Retention period\ .
~ Permanent P ~~f!!..~ ~_~~.i~C .
Retention ....-. --'" . ......-. .. .-.----.- . ,..
-;.; Historic
\~
r Scheduled Schedule # '..t'_L._~_~.l___JI t Schedule I . _H ---- --J
. ..--- .._.----.._.-----.
Location r C OS'O" ..."....\ J :\'. ;
Format ~aper C Audio-visual ("Micrographic C Electronic
Total Quantity (". Cubic Feet: r Items Amount: I Type of Items: L
....-_.. -. "' . . ~ ' ," --' , ..' ..-.... -.---" .----- -..
Annual r.Cubic Feet Amount: [ H.J Items L_ .
Accumulation ... .~. ~ .. ..-.....-..--.-..-.--... .-- . .. ..-'--
Frequency of Use ('Daily (' Weekly lr CMonthly ~eldom ONever
~ .II JI .
Restrictions on Use IN/A. ~.
.- .....-..... .--- '. --. .-"
. I
Records Are: In Poor r Vital (Essential vt"Official Copies
r Condition to Operations)
Name of Person Completing Record r~1\na. l Lch un -, I Date f,-s'l2- ']
JCM (2011-01-05)
New York State Archives
_________u .~.._.._. -,~---~.-----..._---'-
Records Inventory Data Worksheet
\0: ;,p:nnt~~()i:m,~~~
Government Agency fro U1 fl... Of}}xU)I1~'ttj1}r- -' Department L~ccl~,f1lMLJ---
-'-'--"-'-"~--'- ..----.
Record Series Title [_~ 1~~~;~~;;;;~:~~J~~~~~_--__~- ......~~__...__=.
Date Span
/Y2~PS I S rrt ,PLlJJJS f CtJh<. E:sfJO AJ j} cAlct
Records Series
Description
(describe content
and characteristics
of records)
....-.... n_______.___..._.__ ,,_m.' __.n'_'_"'_ .......-..-- . ...._n._...._..__._ --.-.......--...-..-....- ---.-..-.---..- -----.-..-..-..-... .--- -- ,~_. -----... ,.... .._-- .. -......, ._--- --'.
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
C Alphabetical
C Numerical
Arrangement c( Chronological
C Alphanumeric
r Other (specify) I..
r Not Scheduled Retention periodl
?/ Permanent ptR.mArJ ttJ T
Retention ._-_...~ .-.- -..... .- ....-... . _-.0"'- ... .--- .__._ .__ ,n_""'" .-.-.--.....-.. ..- -- - .
~ Historic
C Scheduled Schedule # ,__.._____________.________..: II Schedule I.. _n ________: I
.-.-' ..-..---
Location r(!ar()UJQ~
Format ~per r Audio-visual CMicrographic r Electronic
Total Quantity r- Cubic Feet: r Items Amount: l.n__ Type of Items: I
.--....., -----..--. '" -._.-.-,"
Annual r. Cubic Feet Amount: I .. .J Items L_
Accumulation
__ _ _'" m .-..-..-._...... -'--"-'- . .._....- .-_. ..
Frequency of Use I r DaUy r Weekly II ('<Monthly ctSeldom o Never I
" II II
-
Restrictions on Use N/ A
. _. ..u. ,_ . .. _.~....' . ..-.-......-.. . .~, . --
,
Records Are: In Poor r Vital (Essential ~fficial Copies
r Condition to Operations)
Name of Person Completing Record ~Dn()(J., Ltt)'(1a;- ,\Date I I "'5 - It.., I
JCM (2011-01-05)
New York State Archives