Box 51l Print Fo~ri~
rds Inventor ~ Data Worksheet
Reco y
See Instructions in Publication r76, "Inventory and Planning", before Co ~"~"'
/""~ ~1P_
Records Series
Description
(describe content
and characteristics
of records}
t
Arrangement ~ ~.
~;
Retention
a.aa3 - ~-oi I Si
dtD V1t~~ ~° k Shee4S
Alphabetical
Numerical
Chronological
Alphanumeric
Other (specify)
Not Scheduled
Retention Period ~ ~~+
Permanent r
(', Histonc
~ Scheduled Schedule ~ Schedule
Location
... ...............
Format Paper (' Audio-visual ~'.Micrographic I ~ Electronic
Total Quantity {"' Cubic Feet: (" Items Amount: ~ Type of Items:
Annual ~--.Cubic Feet Amount: ~ Items
__
Accumulation
Monthl
ekl C^ Y
~` W
Seldom
(':Nearer
rrequency of Use (` Daily y
e
Restrictions on UsP N/A
Records Are: In Poor
I~'Condition ~.., Vital (Essential Official Copies
to0perations)
Name of Person Completing Record Date
JCM (2Q11-O1-