Box 190
Records Inventory Data Worksheet
I Print formJ
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
I Government Agency IT?Wn ofVVappinger
Record Series Title I Ge.n e-raJ.. ]);ShurSeMen+2QQ't:
Date Span IMayl~,.. 200~ ....-l--c>m ~~lyl~'m~~?}m
Records Series 1)t:.~h-~ 2015
Description ~; lis Box , 0
Copies of:
(describe content
and characteristics
of records)
.... ..... .. m ...... ............ m ... ................. . .............. ...........mm
II Department
Icomptroller
(' Alphabetical
(' Numerical
Arrangement (i' Chronological
(' Alphanumeric
C Other (specify) I
C Not Scheduled Retention periOdl
C Permanent
Retention
C Historic
(i' Scheduled Schedule # I.'?!~ . .. .... 'III Schedule IM~-1 I
Location I c:.4:r:n t.U~+h
Format (i' Paper (' Audio-visual ('Micrographic C Electronic I
Total Quantity (i' Cubic Feet: (' Items Amount: 1<1 l Type of Items: I
Annual (i' Cubic Feet Amount: 1~1 I I Items I I
Accumulation
Frequency of Use ('Daily (' Weekly ('Monthly (' Seldom II (i' Never
Restrictions on Use INIA
Records Are: In Poor (' Vital (Essential ('Official Copies
(' Condition to Operations)
Name of Person Completing Record I C.ho.d~..~i,nha(d-t .\Date I Ma.rch 20) 101'2.. I
New York State Archives
~oh~cuUf;l-
JCM (2011-01-05)