Request 541 - Revenue/Utility Billing DEPARTMENT OF STATE
-~i*Zmion of Library end
/--.,
4. ADDRESS (S~eet, City, and Zip Code)
1700 CONVENTION CENTER DRIVE
MIAMI BEACH FL 33139
RECORDS DISPOSITION REQUEST
2. DIVISION
SUBMIT TO:
Florida Department of State
Bureau of Archives and Records Management
Mail Station 9A
The Capitol
Tallahassee, FL 32399-0250
7. BUREAU OF ARCHIVES & RECORDS MANAGEMENT REVIEW
(FOR DIVISION USE ONL Y}/~'.--
.......... ...... ,.
^RC.,V,ST REVI~ ~ ~/V'/
SUPERVISOR REVIEW v ' ' '
Schedule
No.
GS1
Item
No.
170
141.
Tide
WATER METER SERVICE ORDERS
(WORK ORDERS: MAINTENANCE)
UTILITY CUSTOMER RECORDS
.o. ~c) I
PAGE' o~ 1 .AGES
GS1
5. CONTACT {Name & Telephone Number)
ROBERT PARCHER, CITY CLERK (305) 673-7411
BOB KING, UTB SUPERVISOR (305) 673-7000 X6633
6. SUBMITTED BY: I hereby certify that the records to be disposed of
are correctly repr,~en~ed below, that any audit requirements for tho
records J~ave bf~n~fvl~Y justified, and that further retention is not
requw ~ etlon p ding or immine . J
! Sigrfature ' ' '
ROBERT J, NACH~LINGER, FINANCE DIRECTOR,'", -"~/1
ON
8. NOTICE OF INTENTI
The scheduled records listed in Item 9 ere to be disposed of in the
manner checked below (specify only one.):
X a. Destruction __ b. Microfilming and Desl]'uction
c. Other
9. LIST OF RECORD SERIES
* NOTE: FOR CONTINUATION USE Form LSSE108 *
10. DISPOSAL AUTHORIZATION (FOR DIVISION USE ONLY}
Disposal for the above listed records is authorized. Any deletions or
modifications are indicated.
Data
Director, Division of Library
and Information Services
Retention
{Division
use Only)
eD
Inclusive
Dates
10/01/92--
09/30/93
10/01/92--
39/30/93
\'olufa~. Disposition
i,, A~-tio~n and Date.
Cubic Pee~ Completed After
Authorization
4.5
99.5
11, DISPOSAL CERTIFICATE: The above listed records have been
disposed of in/t~,~ manner and on the date shown in column g.
Sign~(ture/ 'Da{e' -
Name and Tide
-
Witness
NOTE: Upon disposition retain this form for your records.