Box 47Records Inventory Data Worksheet PrirtForrr
See Instructions in Publication ;`70, "Inventory and Planning", before Completing Form
Government Agency ~ ~ O ~ I Department ~%,
- N~_J
Record Series Title 1
_.._
_..._ . _.
_. _ _ ....
___ .. __.
_ . _.
_..._ _
Date Span
Records Series ~~ JQ,,..~ ~ ~ „ ~ ~~ -
Description ~ ! I v
(describe content
and characteristics •~
of records}
j ~~
~ ~ i' Alphabetical
(~~: Numerical
IArrangemant r- Chronological
1.,..,
~ (~': Alphanumeric
(-' Other I (speciy)
__
~", Not Scheduled i
Retention Periadi ~J ~~~
(': Permanent ~~"EEEEJJJJ
Re.enti;~n
i Historic
~' Scheduled Schedule ~ ~- Schedule +
___._..._....._..._ _ .._.._ _ _. _ I
Location ~ (~ 1
~..+
'Format (a/Paper ("':Audio-visual i avlicrographic ('Electronic
i otal Quantity ;~' Cubic Feet: (" Items Amount:
Type of Items:
__ ..
__... _._
_.._
nnua,
Accumulation ~`'CubicFeet Amount: Items
_.
_._
rrequency of Use ~ Daily ;- V~eGld
.. - Y ('.Monthly ^. Seldom (':Never
Restrictions on Use N/A
Records Are: In Poor Vital (Essential
~ Condition ~ to Operations) {'.Official Copies
Name of Perscn Completing Record
Date L
._
i~le~w York State Archives
JCM (2011-01-05)