Box 31Records Inventory Data Worksheet
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
Print Form
Government Agency ~~ ~ n ' ~ Department ~~~ i ~~
Record Series Title W (s -rR ~} n~S AC7 1 ally ~ U~ Y !~ CiI S
Date Span ~ ~, - ~ ~ (~ 3 ~ aoc~9
Records Series ~,~(S --~Q~~sPrCT~d~ ~~~ ~~~~5
Description
--~j,,~ ~ i j i 3 f aao9
(describe content
and characteristics
of records)
~" Alphabetical
~ Numerical ~'~
a
~
Arrangement (`.
{` Chronological
Alphanumeric ~
///
(' Other (specify}
f" Not Scheduled
ti
n Period
R
t
Retention
(`
Permanent en
e
o ~ ~ ~ ~ J
(+` Historic
~: Scheduled Schedule # ~'~~(~ Schedule
Location
Format Paper ~"' Audio-visual ("`.Micrographic (' Electronic
Total Quantity (b Cubic Feet: ~" Items Amount: r Type of Items: ~~
Annual
Accumulation ~ Cubic Feet Amount: Items
Frequency of Use ~" Daily (` Weekly {".:Monthly ("' Seldom {`:Never
Restrictions on Use N/A
__ _ __
Records Are: In Poor
~ Condition Vital (Essential
~ to Operations)
~ Official Copies
Name of Person Completing Record ~ i~~~-q R _ ~ ~UW+~'~ I Date ~ ~~ ~' ~ i
New York State Archives ~/ JCM (2011-01-OS)