Request 424 - Personnel/Affirmative Action DE.AaT,~E.T OF STA~E .0
Division of Archives. History - RECORDS DESTRUCTION REQ ST
Form AH3EI07~ ' ~~,/
1. AGENCY I 2. DIVISION i 3. BU
C~7 o~ ~am~ ~eac~I ~e~so~I ~ma~ ~c~o~
4. ADDRESS (Street, CRy, and Zip C~e) 5. CONTACT (Name & Telepho~ Num~
~a~ ~ac~, ~ 33~9 ~ C. ~o~s~e~(303) 673-7097
6. NOTICE OF INTENTION:
~ The sch~uled ~ords listed in Item 8 are Io ~ dished et In the
~,,~ manner ch~k~ ~low:
~:~:~ : ~a. ~str~tion ~ b. Microfilming and Destruction
~;' ~,,~ .... ~ DEPARTMENT OF STATE ~ c. Ot~r
~,.~ DIVISION OF ARCHIVES, HISTORY
~;~ ~,;~ ~:::,,. ~ AND RECORDS MANAGEMENT
~:~:=~(.} ~*J TALLAHASSEE, FLORIDA 32~1~20 7, SUBMI~ED BY: I hereby codify that t~ ~o~s to ~ dis~s~
.4~' ........ L~J of are co~ctly represented ~low and that any audit
/ Signatu~ -
A~ENTION: RECORDS MANAGEMENT SERVICES [~e ~a~ham~ ~e~so~e[
d. ~ - ~ /' J~g'
a. b. c. ~et~tl~ e. Volume Best~tlon
Schedule Item Title (Bi~si~ Inclull~ In Action ~d Date
No. No. use only) Bat~ Cu~c F~I Com~ A~er
A~al
Revised Firefighter applicant Data Sheets; ~r/~ 12/1986
1985, & 1986 HUD EEO - 4 Repo~rts.
[C 57 Hemo~a~dum a~d Co~u~i~ Service [983 - ~ [.0
[eco~ds ~ 12/1986
NOTE: AUTH~IZATI~ F~ DESTR~TI~ OF
THESE REC~DS APPR~ED PR~IDED
THE RETENT~ RE~RENENTS HAVE
BEEN ~TISFIED.
· NOTE: FO~ CONTINUATION USE FORM AH3EI08 ·
10. DISPOSAL C~TIFICATE ~ a~w li~t~ m~s have ~en
9. DISPOSAL AUTHORI~TION ~~ et I~t~ ~nnlr and on~ datl ~hown in column g.
Disposal for above listed records is authorized. Any deletions or
modifications are indicated. ~ ~~~' , ~_'* ' 8 / 20 / 90
- ~ Signature Date
Officer
T~ Name a.~ TIUe
~ and R~ords Management Wlt~ ~ ~