Request 569 - City Clerk/Special MasterSTATE OF FLORIDA
DEPARTMENT OF STATE
Division of Library and
Information Services
Form LS5E107R4-93
1. AGENCY
CITY OF MIAMI BEACH
4. ADDRESS (Street, City and Zip Code)
1700 CONVENTION CENTER DRIVE
MIAMI BEACH, FLORIDA 33139
RECORDS DISPOSITION REQUEST
2. DIVISION
CITY CLERK
NO. 569
PAGE 1 OF I~PAGES
3. BUREAU
SPECIAL MASTER
SUBMIT TO:
Florida Department of State
Bureau of Archives and Records Management
Mail Station 9A
The Capitol
Tallahassee, FL 32399-0250
TECHNICAL REVIEW
ANALYST REVIEW
ARCHIVIST REVIEW
SUPERVISOR REVIEW
7. BUREAU OF ARCHIVES & RECORDS MANAGEMENT REVIEW
(FOR DIVISION USE ONLY)
5. CONTACT (Name & Telephone Number)
LISA R. MARTINEZ, 305-673-7181
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
req u ire~a nY litT~zr~nt /~/~,..~/~(_.)
~.~ighature ~) Date
The soheduled records listed in Item 9 are to be disp6sed of in the 1
manner oheoked below (specify only one)
~ a. Destruction __ b. Miorofilmin9 and Destruction
o. Other
9. LIST OF RECORD SERIES
Schedule Item
No. No.
GS1 236/
237
Title
CODE ENFOR'CEMENT BOARD CASE FILES
*NOTE: FOR CONTINUATION USE form LS5E108 *
Retention
(Division
use Only)
Inclusive
Dates
1982 TO
1993
Volume
in
Cubic Feet
75
Disposition
Action and Date
Completed After
Authorization
10. disr~osal authorization (FOR DIVISION USE ONLY)
Dispe'~al for the above listed records is author zed. Any deletions or
C!r.:~c~'or, Division of Library
and Ir~format;~,n Services
Date
11. DISPOSALCERTIFICATE: The above'listed reCOtdS'h~a~'e
dispos;d ~"~ne manr~r a0d~n the d~e shown in ~lumn ~. /
~Si~n~re ~ '.,~ ' '~
L)5
Name and T.le ~C~ 0
Witness
NOTE: Upon disposition retain this form for your records.