Request 584 - Finance/RevenueSTATE OF FLORIDA
DEPARTMENT OF STATE
Division of Library and
Fo;m LS6ElOTR4-93
1. AGENCY
CITY OF HIAH! BEACH
4. ADDRESS (Street, City, and Zip Code)
1700 CONVENTION CTR DRIVE
MIAMI BEACH FL 33139
RECORDS DIS?OSITION
2. DIVISION
FINANCE
REQUEST
3. BUREAU
REVENUE
.o.
PAGE 1 OF [
5. CONTACT (Name & Telephone Number)
RAHON SUAREZ
305-673-7000 EXT 6395
PAGES
SUBMIT TO:
' _'~---~=l~j~a Dep artm en~'t~e '
~~ and Records Management
Mail S t a3Jefl~h~
7. BUREAU OF ARCHIVES & RECORDS MANAGEMENT REVIEW
(FOR DIVISION USE ON& Y)
TECHNICIAN REVIEW
ANALYST REVIEW
ARCHIVIST REVIEW
SUPERVISOR REVIEW
/, 6. SUB~'TED BY: I hereby certify that the records to be disposed of
are co~ect~y represented below, that' any audit requirements for
record~v~ been fully justified, and that further retention is not
,J~lai~d jf~r[a~y IJtigetiq{n pending or imminent.
PATRICIA D, WALKER, FINANCE DIRECTOR
8. NOTICE OF INTENTION ~ ~' 7 ~ ~
T~ sched~ed records listed in Item 9 are tob~d~posed of in the
mann~ checked b~ow (speci~ only one):
e. Destruction ~ b. Microfilming and Destruction
c. Other
Schedule
No.
GS1
GS1
GS1
GS1
GS1
9. LIST OF RECORD SERIES
bo
Item
No.
9O
12
221
170
23
Title
CASH COLLECTION RECORDS
CASH RECEIPTS RECORDS
LI£ENSES (OCCUPATIONAL)
UTILITY BILLING RECORDS
INFO REQUEST RECORDS
* NOTE: FOR CONTINUATION USE Form LS6E108 *
do
Retention
(Division
use Only}
3FY
3FY
1CY
3FY
3FY
eo
Inclusive
Dates
10/01/97
9/30/99
10/01/97
9/30/99
10/01/97
9/30/O0
10/01/97
9/30/99
10/01/97
9/30/99
TOTAL
Volume
in
Cubic Feet
15
123
36
56
9
239
Disposition
A ;tion and Date
Completed After
Authorization
10. DISPOSAL AUTHORIZATION (FOR D/VISION USE ONLY)
Disposal for the above listed records is authorized. Any deletions or
modifications are indicated.
Director, Division of Library
and Information Services
Date
11. DISPOSAL CERTIFICATE: The above listed records have been
disposed of in the manner and on the date shown in column g.
S~t~e Date
Name and Title
Witness
NOTE: Upon disposition retain this form for your records.