Box 48Records Inventory Data Worksheet
PriritForrfi.
See Instructions in Publication;=76, "Inventory and Planning", before Completing Form
Government Agency i ~O
i
Record Series Title
Department ~ / 1 1
Uate Span
Records Series
Description
(describe content
and characteristics
o` records}
~~ u
Y1rl 1 S C ~ I~ln~~-e.~^ t'~~o4- ~ d S'C Cc~ i e~S 2d l o ZD l
~.6 r ~,
_ _ _ _2..~_~ a _ _ ~!-_~ _~_~_~ _ W fie. ~ ~ ~ ~L ~~ (J
~..
~:
Arrangement
~•
:•
Retention
i_.,
r-~
,:
Alphabetical
Numerical
Chronological
Alphanumeric
Other (speciy)
.... ... ....
_ _.
Not Scheduled
Retention Pericd~ ~ ~~ ~ ~v I~
Permanent V
__.
_ . _. _. _.
_.
! St0 CI C
Scheduled ~ Schedule T
Schedule
ocation
N~
' • 1.
Format
i i'~ Paper I ;" Audia-visual .Micrographic I ~" Electronic
Total Quantity ('-Cubic Feet: ("` It~ms
Amount:
YP of Items:
{
Annual _.._ ._
Accumulation
~ ;"' Cubic Feet Amount:
Items
Frequency of Use
fi Dail
Y
f- „
~ V!leekly ~ .MonthlY ___ _... _
~' Seldom
('.Never
Restrictions on Use N/A
Records Are:
In Poor
~
Vital (Essential
~
OfT __
Condition to Operations) {^r
iClal Copies
Name of Perscn Completing Record ( ~\ ~11 ~``
~
-+~ ~~
~ j~ -
I Date
Ne~,~i York State Archives
'
W
I ~ ~ z
JCM (2011-O1-OS)