Request 505 - Revenue/Utility BillingSTATE OF FLORIDA
DEPARTMENT OF STATE
Division of Library ~ncl
Inform&tlon Services
Form LSSE107RT-86
e. ' b.
Schedule Item
No. No.
BC1 78
BC1 126
mo~fl~#ono ore Indicated.
1. AGENCY J 2. DIVISION
CITY OF MIAMI BEACH I REVENUE
4. ADDRESS (Street, City, end Zip Code)
1700 CONVENTION CENTER DRIVE
MTAMT BF, AC}I FL 33139
TO:
RECORDS DESTRUCTION REQUEST
3. SURF. AU
UTILITY
S. CONTACT (Nlmo & Telephone Number)
NO. y
PAGE i OF 1 PAGES
BILLING
67374
673-74
RICHARD BROWN, CITY CLERK (305)
BOB KING, UTB SUPERVISOR
6. NOTICE OF INTENTION:
The scheduled records listed in Item S are to be dllposod of In the
manner checked below:
~[~ a. Destruction ~-~ b. Mk:fofllming and DoatflJCtJOfl
[] c. Oth~ ., - -.-~/
7. SUBMI1TED BY: I hereby corflly that the reco/rda t~oo disposed of are co~Tec~y
Florida Department of State
Bureau of Archives and
Records Management
Mai~ Station 9A
The Capitol
Tallahassee, FL 32399-0250
ATTENTION: RECORDS MANAGEMENT SERVICES
represented below, that any eudlt requirements for tho records hove boon tully
justified, end that further retention is not required for any litigation p~ndlng
011194 _
S~&ture ' Date
Rt")R T~TM~_ TT~'R qTTI:)lq'I~T?T~,mT~
TYpo Nam® end'Tltl®-
LIST OF RECORD SERIES /1~~ <~"~j ~.~1~ ~.~
d. f. g.
Title
WATER METER SERVICE ORDERS
(WORK ORDERS: MAINTENANCE
UTILITY CUSTOMER RECORDS
· NOTE:: FOR CONTINUATION USE Form LOSE108 ·
Retm11
(Dlvioi
use or
Inclusive
Dotes
1011/89-
9~30/90
10/1/89-
9/30/90
Volume
In
Cubic Foot
4.5
99.5
Destruction
Action and Date
Completed After
9. DISPOSA AUTHORIZATION
OlspousI for above Betod records is authorized. Any deletions or
_OCT ! 7 1094
Date
10. DISPOSAL CERTIFICATE Tho above listed records have boon
disposed of in tho ~qla~Dnor end on the dote shown in column g.
, ,!,oh
Sl~lnature / Date
BOB KING UTILITY BILLING SUPERVISOR
Type ~Nlme end Tithe,/ ~
Witness"' ~" F