APPENDIX F
Records Inventory Worksheet
Records Inventory Worksheet |
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County, City, Town, etc |
Number |
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1. Department |
Division |
Section |
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2. Name and title of officer immediately responsible for series |
4. Series number |
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5. Description of records series (content, purpose, by whom created, form numbers, etc.) |
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6. Earliest date/Latest Date |
7. Records still being created? |
8. Annual accumulation? |
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Yes ___ |
No ___ |
Cubic feet _______ |
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9. Arrangement |
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Alphabetic by _____________________ |
Numeric by ______________ |
Other ___________________ |
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10. Reference frequency (check, insert number, circle appropriate words) |
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______ times daily, weekly, monthly, annually for ____ months, years |
Never after _________ |
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11. If there are other copies of these records, including microfilm, identify them: |
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12. Relationship to other records series (indexed, summarized, listed, etc.) |
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13. Location of records (building, room, file section, etc.) |
14. Volume |
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Cubic feet ______ |
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15. Size and format of record |
16. Type and quantity of file equipment occupied |
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17. Statutory or state archival requirements for retention |
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18. Suggested retention period with justification |
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19. Additional comments |
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20. Inventory taken by and date |
Reviewed by and date |
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22. Appraisal |
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Confirms suggested retention period or |
Substitutes the following: |
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23. Department head and date |
24. Records Officer and date |
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25. Other local authority and date |
26. State Archivist and date |
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