Box 17
.' ~)( r-t- Records Inventory Data Worksheet 50" l- R".fAijtil;<ii1j)i'.;;~
See Instructions in Publication #76, "Inventory and Planning", Before comPlet~orm
Date Span
Government Agency Ir.o all} OE Lr.)APf>IIJC~cg~. Department lBc.CP.flIDOAJH_~__
Record Series Title LCoAAt.~eOAJO-CAJ.Cf.____
1..9.00 '1c--aCJ09-._______
Va-riou ~ l f::ttE.\~ CU\ pl)r'-ho..~<L or Q.,f':) ~'o'lJ
-Th fo.i1C.l Clf\o Q{.htr da..m~fl a..-t CM{)u.xl'-h.
. ..---...---~-.-.-.._-. ._.__ _'_'..n_ __. _ __.__....__..__.._. __ _.. _._.__._._._________ _. _____.._
Records Series
Description
(describe content
and characteristics
of records)
---
C Alphabetical
C Numerical
Arrangement ri Chronological
C Alphanumeric
r- Other (specify) I..
... - . . ..
r Not Scheduled Retention periOd)
C Permanent _'3__ --"l~_~.......__
Retention .'.-., -..-, ..... .-.-. . . ....
e Historic
r Scheduled Schedule # ft:l~a~3:.._ J/Schedule IL._~]- ..--1
Location I c.o..~LU~~..
Format c;;kaper r Audio-visual OMicrographic r Electronic
Total Quantity r. Cubic Feet: l Items Amount: I . Type of Items: 1....-
....... .' .---- '--'-'---'-' 'U'.._ .., - .--.-
Annual r. Cubic Feet Amount: I .----.J Items L_ _
Accumulation -""---'" . -...-....--...... ...-. ".- '" ._n. ...... '__ '-.--... .. -
Frequency of Use rDaily r Weekly r,Monthly ~Idom ~ o Never
II
Restrictions on Use IN/A I
_ ......-. ...._. u.... ......._.-... .- .. ... ..._mu.. ... .... -.-
Records Are: In Poor r Vital (Essential p7"'Official Copies
r Condition to Operations)
Name of Person Completing Record FbO"1\f\A.. 1 ~h.l'1I\V :/oate I ..1 :-5~1_~... I
.
.... .-......". ._..-.._-..~.__..." -.---... - -...---.---.--.----. --- ----...--.-.----.--....-.-..---.... .~....._- ,-- ..___n.._n_._ _n_
New York State Archives
JCM (2011-01-05)
Records Inventory Data Worksheet
1';LT,gri9~~f:qiirii;,']
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
Government Agency ITOWb..l OF. .
Record Series Title
Date Span
Records Series
Description
(describe content
and characteristics
of records)
Department tRe.aR....._JlaAl..
t. . .~PCL\
t. .... ~<o.. "'______. '..d
Qfimp foR ms
. __._.,.___._.___u ____._.__._.__..u_._ _._. "__ m .._. __.___...___ _.. _____. u_. .._. ..n _ __. _ ._
. ._._n.____. -.-.---__ ___._..._. __________ .....m.__.__..____..... _..__ ._ ._. . _._. ._.___".__._ ______~__u. ...__ __ ... _._.~. ,__
. ... --..~~--.._--..-.. -_. -----..--..- '.--.-,-.-.. .-... .--_.--... ....-.-.-,_....... --, _..___....__.m...._..__....___....__.___._._.._.__.._.._.__.._. _...
C Alphabetical ~ OF1-
c Numerical
Arrangement c/ Chronological
r Alphanumeric
r Other (specify) I
. .... ..
r Not Scheduled Retent;on periodl
C Permanent . ...] ..Y~~...
Retention .- ---. - ._- .._.--~... .... ----. .....
C Historic
r Scheduled Schedule # If..~~1:, ... .)1/ Schedule too -.... "'.-.. . ....-1
-.. .---..-
Location fCo-row~...
Format O'!5aper r Audio-visual CMicrographic C Electronic
Total Quantity ('-Cubic Feet: r Items Amount: I Type of Items: I
_n. .-. .----.-,
Annual ('-Cubic Feet Amount: I.. Items I..
Accumulation --, .-. - -"'. . . _..._u. _,_. --......~ ... '--' ..u.~. .._--.. . ... . ..
Frequency of Use (' Daily r Weekly ('oMonthly ~dom GNever
Restrictions on Use IN/A
.. ......... . ......-.... ... .. .. ....... '.. ... ....
Records Are: In Poor (' Vital (Essential P(Official Copies
r Condition to Operations)
Name of Person Completing Record I 'hon no:.. l l-J1n l'1rl ,I Date It~S-/~ I
.. .
New York State Archives
JCM (2011-01-05)
GovernmentAgency I -lJlJJAJOE_W ....P-P, .
Record Series Title L-E-B. -C-.5-- __ __ _..
L.._.aOLQ__
~ f: CDR 1)s Pc 1lT11/ AJI A.kJ- T tJ
- /fJVOtCLS
- plJrt/'Y:)..st: orders
Date Span
Records Series
Description
(describe content
and characteristics
of records)
Records Inventory Data Worksheet
I }'PflritiF;ormi';,~11
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
Depa rtment
IR.E--CR_CB-TIQN
-.. . ----""...--......-.-.--. ....-. '-'-'-- ..-'------- ...-....-.....---.------...--........--.. -"
.'.-._ _'''''''_''n.'_'_.__._' _nn__.___ ..___. .______. __..._~.___~ _ .._____... _m._______._.___....__._.___
Pv~CNIVSc s ~
'.
C Alphabetical ~
C Numerical
Arrangement g' Chronological 1- YRoS.
C Alphanumeric
(' Other (specify) I
. -.. .... . .. .. -
(' Not Scheduled Retention pe"adl_ _
C Permanent
Retention - -.-.. ....--- ..--.- -- .. ....-..-------...-..-. ....
C Historic
C Scheduled Schedule # I _.~l.._t:~~hedu,e I .- hd__ --_0/
.-. ._-.. .. ~..__.
Location I eRR IJ w~LH .
Format ~aper (" Audio-visual CMicrographic C Electronic
Total Quantity (".Cubic Feet: C Items Amount: I - Type of Items: I -
............ --...-.. . "'._n._..; ... .. __n _n_,.. .....- ....
Annual ('-Cubic Feet Amount: 1._ --_..~._.._.--;I Items t
-
Accumulation --...........- -.....-.-. . ..-....._- _'.n. "n"_'
Frequency of Use rDaily r Weekly OMonthly , f'Seldom C Never
Restrictions on Use IN/A
.. ....... .. _d 'd. n'........ "'-'. .... .... . ..
Records Are: In Poor (" Vital (Essential ~fficial Copies
r Condition to Operations)
Name of Person Completing Record I l> Dnl) a.. Le.nbtrt '/Date I 1- L/-/d-. I
.
New York State Archives
JCM (2011-01-05)
Government Agency hq'~J'.)F ..WfJPf.JlJuell..____.
Record Series Title l~I'e..C.l _,-_-E V 'l-S___ f.t>tnlnJLH:z:~1)A~_un_n _____ _ _._. _.. _
L.aroq_"':__~OJQ__ _..__ ....____________ ....._______________._..___.____________....___
~ LL P A'PE:fluJCJR.JC - II e..n 0 r " f) ml Q... ,I)'fo,
porc.h(l~Q.. OrdClrS, tn-do H~ts, Pszrl~("\'''9 tn
CLOOVa....
C Alphabetical ~O
C Numerical ',,---
Arrangement ~ Chronological
C Alphanumeric
C Other (specify) I
("' Not Scheduled Retention Periodl.
r Permanent f.. VRS
Retention ---._.. --- .. .------..-- .- .-... _._._-_._---~._.. ,---'" ".----- ,.--...--. _... .-- ..- ..-
C Historic
r Scheduled Schedule # rS-~_f~:r31-__! II Schedule I ....---j
.---.-.--.---...---.- -..-..---
Location , c.o..ft)~'Pr)
Format cnaper ("' Audio-visual ("',Micrographic C Electronic I
Total Quantity r, Cubic Feet: r Items Amount: I _,__ Type of Items: 1_- _ . _
...- --. u__... <__ _____d .----." .-. -.....-.-...
Annual r, Cubic Feet Amount: L ..... ...- ------1 Items 1____
Accumulation .---..--,. ---- '-'-'-'..--.. ---- -
Frequency of Use rDaily r Weekly r.Monthly ~eldom IONever
.. II
Restrictions on Use IN/A
... . .. - .. ... .. n . . n. _~.._ __.. n "_~. . ......- .-...... -.. .". -. - . ... -. -.. ...
Records Are: In Poor r Vital (Essential "Official Copies
r Condition to Operations)
Name of Person Completing Record I boom L!.ohQt-\- ..1 Date I , -5-1 ~ '/
.. .
Date Span
Records Series
Description
(describe content
and characteristics
of records)
New York State Archives
Records Inventory Data Worksheet
1;:;';~N191Jf9rnJ:~~" q
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
Department
LJ;f:~R.f1IDO_!J.___u__ _____
- _._---_._~-. -"--"---' ".--..-.- ~.._--_._._-..._._._-_._._---_._-_._._---....- - .-.-- ----.. ...
JCM (2011-01-05)