Request 570 - Finance/Revenue ~rATE OF FI.ORIOA
DEPARTMENT OF STATE
Otvleien of IJb~aty and
Inf~ 6e, v~c~
Farm L$SE107R4~3
1. AGENCY
CITY OF MIAMI BEACH
4. ADDRESS {Slreet, City, and Zip Code)
1700 CONVENTION CTR. DRIVE
MIAMI BEACH, FL 33139
SUBMIT TO:
RECORDS DISPOSITION REQUEST
I2. DIVISION
FINANCE
Rorida Deparlment 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 ON£ Y}
TECHNICIAN REVIEW
ANALYST REVIEW
ARCHIVIST REVIEW
SUPERVISOR REVIEW
3. BUREAU
NO. _5-70
PAGE I OF
PAGES
6. CONTA~ (Nsme & Telep~ne Numbm*)
JAIME CASTRO
(305) 673-7000 X 6395
6. SUBMITTED BY: I hereby certify that the records to be disposed of
I reqare co~ec~y~weeen~d below, ~at any audit requ~emen~ for ~e
~c~dI ham ~R My jua~fied, and ~at ~ reMn~on b not
/ , ,
Signature ' Date
PATEICIA D. WALKER, FTNANCE DIRECTOR
7.,.
8. NOTICE OP INTENTION
The achedded records listod in Item 9 are to be disposed of in the
mannor checked below (specify only oriel:
a. Des~n b. M~o~m~ and De*~n
9. UST OF RECORD SERIES
Schedde
No.
GS1
GS1
GS1
GS1
GS1
Item
No.
9O
12
221
170
141
Co
T'~Je
CASH COLLECTION RECORDS
CASH RECEIPTS RECORDS
LICENSES
UTILITY
(OCCUPATIONAL)
BILLING RECRODS
WORK ORDERS
· NOTE: FOR CONTINUATION USE Form LSSE108 ®
Reunion
uae Ody)
In~ua~e
Dates
lo/1/95
9/30/96
10/1/95
9/30/96
10/1/95
9/3o/96
10/1/95
9/3O/96
lo/1/95
9/30/96
fo
V~ume
k,
Cubic Feet
4.5
63
15
31.5
18
132
Disposition
Action and Date
~-~ete~ A~e~
A~afion
10. DISPOSAL AUTHORIZATION (FOR DIVISION USE ONL Y)
Disposal for the above listed records is authorized. Any deletions or
modif~,ations are indicated.
Director, Division of Ubrary
and Informa~on Serv~es
Date
11. DISPOSAL CERTIFICATE: The above listed records have been
disposed of in the manner and on the date shown in column g.
Signature Date
Name and Title
Witness
NOTE: Uoon disoosition retain this fnrm fnr vnHr