Box 199Records Inventory Data Worksheet PrintForrn
See Instructions in Publication r76, "Inventory and Planning", before Completing Form
Government A enc -' , ~ ` Department ~-
Record Series Title \\ ~ a ~,
Date Span ~ .(n~Ut,~ . _ ` ~V~~-- - ~1~ .._. ~.C~..C. h..._.~.'_ . . ~~lU _ _ ....__ _
Records Series
Description ~ ~ { i \\
1~~~~~ ~ ~ ~,IS
~~G ~
ribe c
ntent
(d ~~ ~ ~ ~'~ ~ ~~l~U 1 ~
esc
o
and characteristics
of records}
(', Alphabetical
(': Numerical
Arrangement ,~ Chronological
>"`; Alphanumeric
~". Other I (specify)
~; Not Scheduled
Retention Period
Permanent \~~'h~
C'
etenti~n
Historic
~. Scheduled Schedule n ~1 ~ r Schedule , ~ Ll
Location
Format I~ Paper ~ {" Audio-visual ~':P~ticrographic I ~"' Electronic
Total. Quantity (" Cubic Feet: ~` Items Amount: ~ , Type of Items :
Annual
Accumulation
~' Cubic Feet
Amount: ~
-
Items
~
Frequency of Use ~" Daily I ('.Weekly i .:Monthly ~ ~ Seldom I ('.. Never
Restrictions on Use N/A
Records Are: In Poor
~"
i
d Vital (Essential
C'
rations)
O
t OTncial Co yes
~ p~
it
on
Con pe
o
Name of Person Completing Record 1 U~~Z~~.
~~~~1~t~ IDate ; ~~~ \~~ \~
Neri York Siai2 Archives JCM (2011-0#1-OS)
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