Request 518 - Mayor & CommissionSTATE OF FLORIDA
DEPARTMENT OF STATE
Fo.n LSSE107R4-O3
1. AGENCY
4. ADDRESS (Street. City. and Zip Code)
RECORDS DISPOSITION REQUEST
INO. ~'~'
PAGE I OF' I
2. DIVISION- I 3. BUREAU
Mayor ~ ¢o~mi~sion 0ffice
S. CONTACT (Name & Tdephone Number)
~ S~, FL 33139 '~ :~ ~,~-~, ~, ~ ~.~..~'~
SUBMIT TO: ~
Rorida Deponent of Stye ~¢ '~ ~ ~*~
Bureau of Archives ~d Records Manage~t~
Mail Sta~on 9A ~- ....
The Capitol ~'~ ~' ~
Tallahassae, ~ 3~99-0250 ~~
7. =~URE/tU OF ,".~CHI%~S ~ RECORDS MANAGEMENT REVIEW
(FOR O/V/SmN USE ONL Y}
TECHNICIAN REVIEW . ~/ ~'~//~/'/¢'J*
ANALYST REVIEW
ARCHIVIST REVIEW
Ch~.Ju~l M~z~JL 305-673-7030
6. SUBMITTED
Jecmre~lyr
SUPERVISOR REVIEW
PAG
hereby certify tlmt the record, to be dbpose.
any audit requirements for th
is not
Date
Nlnte
8. NOTICE OF INTENTION
The scheduled records
mann~ c~m~:kod bdow.
9 are to be diepoeed of in the
.~ e. De. lnmtton
b. Microfiming -,nd Desm~ion
9. LIST OF RECORD SERIEB
Schedule
No.
Be I
Item
No.
4A
36 A
81 A
· NOTE: FOR CONTINUATION USE Form LSEE108 *
10. DISPOSAL AUTHORIZATION (FOR DIVISION USE ONLY}
Disposal for the above listed records is authorized. Any deletions or
modifications are indicated.
Director, Division of Library
and Information Services
Date
Retemi.n
(Divbion
me Only)
Indtmive
Dete~
~99I-9/92
fe
Vdume
in
Cub~ F~Bt
.9.0
Dbpositio,'
Action and
Completed
Authorizat~c
11. DISPOSAL CERTIFICATE: TI~ above Ibtod records imve been
dbpoand of in the manner and on the date shown in column g.
Signature Date
Name end T~de
NOTE: Upon disposition retain this form for your records.