Fire #555 Farm LSSElOTR443
1. AGENCY
4. ADDRESS (S'~eet. City. and Zip Code)
1700 Co~'~.n'~o~ ~_n~ Dr.
Miat'~ ~ach, Fi. 33139
'RECORDS DISPOSITION REQUEST
· .r./-/7~ ~ ~o.~ ·
I 2,. DIVISION " I 3. BUREAU
SUBMIT TO:
~' Florida DePartmem of State
Bureau of Archives end Records Management
Mail Station 9A
~Th~e Capitol
lahassee, Pl. 32399-0250
7..BUREAU OF ARCHIVES & RE.CORDS MANAGEMENT REVIEW
~ DIV~S;ON USE O~i. ~ ~
TECHNICIAN REVIEM/ ~r~,~ L//OC,/~ ~ .
ANALYST REVIEW t~,/~ 9//.,~/,e)'
sup.~v,soa .EV,~
S~heduh
No.
be
35
36
Rescue ~:~c~: Field
Rescue l~:,~ao~bs: _HontYLTy
· NOTE: FOR CONTINUATION USE Form LSGE108 °
10. DISPOSAL AUTHORIZATION '(FOR DIVISION USE ONLY)
Dbpo~d for the above Ibted reQorda b authorized. Any ddetior~ or
Date
Director, Divbion of Library
Ind Information Selvicee
$. coNTACT (Nam & Tdephone NUmborl
(~.~ef ~d ~1 Fa~o (305) 673-7130
S. SUBMITTED By: I I~feby =nify dmt the recorcb to be dbpond a
ore c:orreody represehted below, tlmt iny audit requirwnen~ btr alii
records Imve been fully jU~lfled..nd dmt ~rthor retention b not
~ f~any t~btg or immbtont. . , - ~
-
8. NOTICE OF INTBITION .
The adli4~ub:~ ;G.~td; ,'bt~ bt Itom 9 'ore ~ be dbpo~ed of bt d~
nmnn~ cd.eked below (sPecifY mdv oriel:
__~ ii. DMim=don ,. b. Mkrofiming and D~tcdon
I. UST OF RECORD 8ERIE8
d.
(Dh~bbn
wii Only)
1/20;,,91
9/91
12/94
f.
Volumii
in
Cubic F~lt
1,5
72
4.5
e-
ObpMltion
Aclion and Da~;
Compbtted Aha
Aulhmizalion
11. DISPOSAL CERTIIqCATE: The above Ibted rec~a have been
: dbpoepd o.f in the manner and on the date shown in column g.
~iO ~e I , . pate
NOTE: Upon dbposMon retein thM form for ¥ou~ records.