Request 545 - Code ComplianceSTATE OF FLORIDA
DEPARTMENT OF STATE
Division of Library and
Information Services
Form LSEE107R4-93
RECORDS DISPOSITION REQUEST
r~ ¥TS'~eoo
Gem
1.AGENCY I 2. DIVISION
City of Hi~m~ Beach Code
4. ADDRESS(Street, CiW, and ZipCode}
1700 Convention Center Dr.~ 2nd Fl.
Hiami Beach~ FL 33139
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 & R~CORDS MANAGEMENT REVIEW
(FOR DIVISION USE ONL IO/ff~.
TEC..,C,A.R IEW
ANALYST REWEW l~--.~ r/~ ~/~ ?
ARCHIVIST R~IEW ~ ~ ~ ~ ~
SUPERVISOR R~IEW ~ -
.o. 5W- '
PAGE I OF PAGES
3. BUREAU
,liance Dept.
5. CONTACT (Name & Telephone Number)
A1Childress, 305-673-7555
Robert Pa=dher 305-673-7411
6. SUBMI I I ~u BY: I hereby cert~ that the records to be disposed of
are cowecdy represented below, that any audit requirements for the
records have been fully justified, and that further retention is not
requked for any,b~i~ati~n-pen~l~?~l~,~l~ninent.
Signature Date
Albert Childress, Code Compliance Director
8. NOTICE OF INTENTION
The scheduled records listed in Item 9 are to be disposed of in the
manner checked below (sl~ecify only one):
.~ a. Destruction ~ b. Microfilming and Destruction
c. Other
9. LIST OF RECORD SERIES
Schedule Item
No. Ne.
GS1 237
Tide
Code Violation Files
Retention
(Division
use Only)
Inclusive
Dates
5/93 thru
* NOTE: FOR CONTINUATION USE Form LSSE108 *
Volume
in
Cubic Feet
28.5
Disposition
Action and Date
Completed After
Authorization
10. DISPOSAL AUTHORIZATION {FOR DIVISION USE ONL Y)
Disposal for the above listed records is authorized. Any deletions or
modifications are indicated.
(}' - - AUG 27 1997
Director, Division of Library
and Information Services
Date
11. DISPOSAL CERTIFICATE: The above list~r~ re.c.~rJls
been
d.sposed~of~in e anner and on~:~ , ~'~~ ~the date si~nFrt i~;jolumn?~l_ g' ~/,~|
-~,/.a,,,,~n lt. I~/1~.?~ ~. >t-~I_~,_IC
'Name an~ Tide ' - /
Witness
NOTE: Upon disposition retain this form for your records.