Box 37Records Inventory Data Worksheet Print'Form
See Instructions in Publication #76, "Inventory and Planning", Before Completing Form
Government Agency ~ I ~ r Department ~~.~~ ~ S-~~..~er^ r
Record Series Title ~ ~ ~}- 2... ~ mm Ci ~ ~ ] L° A-d ~ R 5 U\~- a r+~
Date Span
Records Series
Description
(describe content
and characteristics
of records)
'~
Arrangement
C`
G~kRS i a-2- ao ~b S ~ec~d ~~ ~~,~~.O~~s
Alphabetical
~~
Numerical ~ ~ ,
4~~
ti
Chronological r ~,
Alphanumeric
Other (specify)
Not Scheduled
Retention Pe
~ ~~s
(~ Permanent
Retention
~ Historic
~ Scheduled Schedule # ~~~~ Schedule
Location ~ ~ ~'''
Forrl'tdt Paper ~"' Audio-visual (".Micrographic (" Electronic
Total Quantity Q Cubic Feet: ~" Items Amount: ~ .Type of Items: ~_~
--
Annual f^ Cubic Feet Amount: ~ .~ Items
Accumulation
Frequency of Use ~'' Daily (` Weekly (".:Monthly (` Seldom (":Never
Restrictions on Use N/A ~ _.__
In Poor Vital (Essential ~. Official Copies
Records Are: ~ Condition ~ to Operations)
Name of Person Completing Record ~ ~ Date ~' ~ I
b r~ ~ . t~ ~d r~
JCM (2011-O1-0`
New York State Archives