Box 49Records Inventory Data Worksheet Prirt Forfri -
See Instructions in Publication t76, "Inventory and Planning"~~r Completing rm
GovernmentAgency ~ ~w Department
__ _ n_ a~ _ _ _ __.
__ _ _ _ _ _
Record Series Title
Date Span
__ _. ._
..........
__.
Records Series
Description
(describe content
and characteristics
o` records}
Q~RS 3 ~ ~{ , 20 i i
B 1 i-~- 12e por~S
uWin~ar~~ep
N~
Alphabetical
(': Numerical
Arrangement ~ Chronological
(" Alphanumeric
~' Other (speciy)
etention i ' Not Scheduled
("'. Permanent
Retention Period
___. ______ __. _.__ _. __.. _ __
Historic
~". Scheduled Schedule ~ Schedule
___- ___
Location
Format Paper (`Audio-visual ~ :Micrographic c'^ Electronic
Tota I ~
Quantity ~
{"'`Cubic Feet:
(' Items
Amount: ~
_ _.. _ ...
_ . i
Type of Items: 1
_..
i P,nnual I
Accumulation '~-Cubic Feet Amount: Items
Frequency of Use ~ 'Daily (` V~Jeekly {'.:Monthly ('. Seldom (`,Never
Restrictions on Use IN/A
Records Are: In Poor
~ Condition Vital (Essential
~ to Operations) iOfflCial Copies
Name o` Person Completing Record I , ,~ ~ Date ~ ~ '' ' •'
Ne~~i York State Archives JCN (2011-01-05j