Box 50
Records Inventory Data VV orksheet
See instructions in Publication #76, ]nvenwry 8ndF'lannjng, before completing tlllS form,
box ~o
la
2.
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~CU\ - ~ Q~ u.sr-
4, RECORDS SERmS DESCRIPTION (Describe content and Cba1'8Ce istics of records)
3, DATE SPKN
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dOO~ \<L~ ~
c.OVV-~DI(I~
Co \.,\..L~ 0<"'\
_ W Q.)0....~
5, ARRANGEMENT
o Alphabetical 0 Numerical
o Other (Specify):
6a RETENTION
o Noe scheduled 0 Permanem
~eduled retention:
~ronolOgiCal
o Alphanumeric
o Appraise for historical value
~~
6b, SCHEDULEAND ITEM NUMBER, QR.REASON.FDR.FRDPOSED.RETEN'110N
\
C ~C15 ~
~G-0'\W~
n
7. LOCATION
8. FO~T
fB"Paper 0 Audiovisual 0 Micrographic
g, TOTAL QUANTITY (In cubiC feel oFDumber of items),
ot'ubicf eel: \ c. ~. 0 Items:
10, ANNUAL ACCUMULA. nON (In cubic feel or number of items),
o Cubicfeel: 0 Items: ,..J \ rr
o Electronic
Type of items:
11, EREQUENCY OF USE,
o Daily 0 WeekJy
12, RESTRICTIONS ON USE
~dom
o Never
o Monthly
,.j\ff
RECORDS ARE
13. 0 1N POOR CONDmON
14, 0 ~AL (EssentIal to operations)
15, lV6FFlClJIL COPIES
j16a. NAME OF PERSON C
New Y ork Stal~ hrchives
16b. DATE
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GPS2{]2!2002)
S:;,.79B25 92-IJJ6 CDe
bD'z
SD
Records Inventory Data Vvorksheet
See instrUClionsin PubHcCJtioD 1/76, lnvt!nwry andPJanning, before completing tillS f.cJl'fTl.
1a. GOVERNMENT/AGENCY
2,
3, DATESPKN
4.
\.$\DV. 00 ~
(Describe contem and characteristics of records)
-:)cvt
~\.U-cJ-i~
:;00'3/0q,
W~
S chaO \
Qp<~~
5, ARRANGEMENT
o Alphabetical 0 Numerical
o Other (Specify):
6a. RETENTION
o Nmscheduled 0 Permanem
~duled retention:
-
~onoJOgiCal
o AJphanumeric
o Appraise for historical value
dO\S
~ ~ lU..O
6b. SCHEDULEAND ITEM NUMBER, DR.RElI.SON.FDRFROPOSEDRETENTION
\ C ~qS'~ R
7. LOCATION
~
~
B. FOjdAAT
t('Paper 0 Audiovisual 0 Micrographic 0 Electronic
9. TOT~QUl\NI1TY (In cubic feet arnumber of items}
wC'ubic feet: \ c. ~ 0 Items:
10. ANNUAL ACCUMULATION (In cubic feet arnumber of items),
o Cubic feet: 0 Items: J..,) \ ft
11. EREQUENCY OF USE,
o Daily 0 Weekly
12, RESTRICTIONS ON USE
tJ\R"
RECORDS ARE
13. 0 m POOR CONDmON
14. 0 ~ (Essential to operations)
15. VQFFlClAL COPIES
116<.. NAME OF PERSOJ
Type of items:
o Monthly
~om
o Never
..,
GPS2{12!2D02)
5:;-79925 S1-,.q[, co:
New Yor!: StalE: hrcillve:.,
\ z.....-
Records Inventory Data Worksheet
See instructions in Publication #76, Inventory and Planning, before completing c1us form.
@Ox
5D
la GOVERNMENT/AGENCY
lb. DEPARTMENTIUNlT
2.
aro~
,j - \ \) ctDD,\
4. RECORDS SERIES DESCRJPTlON (Describe content and characteristics of records)
~.. :J~.( - \u~ d. CoU-'LcX1
. aOO <\ ~t ~ ---'r
-::1.t ~ \0~~ d Co~ cz. cl-\ ~
3. DATESPKN
~OOq)o
S cJr\c0\
5. ARRANGEMENT
o Alphabetical 0 Numerical
o Other (Specify):
6a RETENTION
o NDtscheduled 0 Permanent
~duled retention:
~nological
o AJphanumeric
o Appraise for histOrical value
go\~
6b. SCHEDULEJ\.NIJ ITEM NUMBER, ORREhSON.FORPRDPOSED.RETENTION
\ .
C '5q~ ~
~
7. LOCATION
B, PORMAT
o Paper 0 Audiovisual 0 Micrographic
g, TOTAL QUl\NTITY (In cubic feel or number of items),
~bic feet: \ 0 Items,
o Electronic
Type of items,
10, ANNUAL ACCUMULATION
o Cubic feet:
11. .F.REQUENCY OF USE,
o Daily 0 Weekly
12, RESTRICTIONS ON USE
ubic feet or number of items),
o Items:
w ~ ~q-
o Monthly
~Idom
o Never
o
RECORDS ARE
13, 0 IN POOR CONDmON
14. 0 ~AL (Essential to operations)
15, ~FFlClAL COPIES
16b. DATE
~
73
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GRS2{1212002)
92.7992592-1'16 CDC