Request 572 - Fire· STATE OF FLORIOA
DEPARTMENT OF STATE
Fimn LS~E107A4-e3
1. AGF..hlCY
CIT~ OF M_T.]~T
4. ADDRESS (Slreet. City, and Zip Code)
RECORDS DISPOSITION REQUEST
FIRE, D~~? ~![ [~
1700 COtIvl~fION CENTER DRIVE
MIAMI BEAC}I, FL. 33139
SUBMIT TO:
"Florida Department of State
Bureau of Archives and Records Management
=-~==:~Maii Station 9A The Capitol
Tallahassee, FL 32399-0250
.o.
PAGE 1 OF ~ PAGE
i3. BUREAU
~:c~r (Nam, & T.~be.. Numbor~
(305) 673-7130
6. SUBMITTED BY: I h~teby nsni~y dmt the records to be disposed o
ore cmrrmnly r~~ ~w, ~t a~ a~ r~ f~ ~
~ f~ any t~a~ ~ ~ ~m~m.
~ D~,FA~O, ~ 'D~SION ~
7. BUREAU OF ARCHIVES & RECORDS MANAGEMENT REVIEW ' 8. NOTICE OF INTENTION
TECHNICIAN REVIEW
ANALYST REVIEW
ARCHIVIST REVIEW
SUPERVISOR REVIEW
Schedule Item
Ne. No.
GS8 3~
J. f/~ aheeked ~ ¢speaifv only oneh
~--.. :;D--ln~t°n __ b Mk:rO.min~.nd D.Izucdon
~. UST OF RECORD 8ERIES
Rescue Repoz~cs: Field
Rescue Reports: Monthly
z~
Rescue Reports: Field 2. ~'~
· NOTE: FOR CONTINUATION USE Form LSGE108 ®
de
(Divbien
..p O.ly!
12/9/92
12/ 795
9/91
12/1/95
7/13/80
8/2/80
e. · Dbpnsidon
Ildnsiv~ J in AL-lion end DaM
Dam I C~zbi= Feet Completed Ah.~
I
Amhorizption
5~
3
1.5
10. DISPOSAL AUTHORIZATION (FOR DII/I~ION USE ONLY)
Dbpo~d for 1he Ibov~Jlsted reGorda i. authorized. Any deletions or
Director, Divbion of Ubr~ry
·nd Informmtim Sm
Date
11. DISPOSAL CERTIFICATE: The above IbM ~ have been
diepo~ed of in the minn~ end on the date shown in column g.
Signanzp Date
Name and Title
NOTE: Upon dl-n~it~n rmtlin thM