Request 553 - Finance/RevenueSTATE OF FLORIDA
DEPARTMENT OF STATE
Oiwaion of Library and
!*dot marion Serwces
~ ~:orm LS6E107R4-93
RECORDS DISPOSITION REQUEST
.o.
PAGE I OF /
PAGES
1. AGENCY
2. DIVISION
FI~[ANCE
I3. BUREAU ..~~
4. ADDRESS (Street, City, and Zip Code)
L700 CCA57ENTION (..'ENTER DRIVE:
vr_[Ar,~T 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 & RF./C~ORDS MANAG;=MENT REVIEW
(FOR D/V/SION USE ONL Y)
ANALYST REVIEW
.c.,v,sT
SUPERVISOR R~IEW ~ / ( '
S. CONTACT (Name & Telephone Number)
BILL GONZALEZ
(305) 673-7000'x 6421
6. SUBMITTED BY: I hereby certify that the records to be disposed of
are correctly represented below, that any audit requirements for the
records have been fully justified, and that further retention is not
requ~or, any ,~.tio~ent. ~/,2./~ ~
~ignature Date
Name end Title '
8. NOTICE OF INTENTION
The scheduled records listed in Item 9 are to be disposed of in the
manner checked below (specify_only one):
~- a. Destruction ~ b. Microfilming and Destruction
c. Other
9. LIST OF RECORD SERIES
eD
Schedule
No.
GSl
qS1
GS1
bo
Item
No.
90
17
221
170
141
TitJe
;CASH COT,T.RC~I~ON RECORDS
LICENSES (OCCUP. A~)
RECEIVED
OCT i m9
CLERK OF
* NOTE: FOR CJo~l~l~~SSE108·
do
Retention
(Division
use Only)
Inclusive
Dates
.0/1/94-
t/30/95
10/1/94-
9/30/95
10/1/94-
9/30/95
10/1/94-
9/30/95
10/1/94-
9/30/95
Potal
f' I g'
Volume Disposition
in / Action and Date
Cubic Feet ! Completed After
I
13.5 /;I '
!
102.0 ~, .~
19.5
" ~
10. DISPOSAL AUTHORIZATION (FOR D/V/SION USE ONLY)
Disposal for the above listed records ia authorized. Any deletions or
modifications are indicated.
dj-rector, Division of Library Date
and Information Services
11. DISPOSAL CERTIFICATE: The alcove listed records have been
disposed of in the manner and on the date shown in column g.
Signature ~ - ~/ Date
E'~ disposition retain this form for your records.