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Request 560 - Central ServicesSTATE OF FLORIDA DEPARTMENT OF STATE D~v,s~on of Ul~rary and Info,mat~on Services Form LSEE1OTR4-93 1. AGENCY 4. ADDRESS (Street, City. an~l Zip Code) 17DC. Q 0nu, e_nf,5 r~ C'en½~r, Ibr', v~ rni nrn j rs~c:.l~ Foot, do., ,'B~c1 SUBMIT TO: Florida Department' of State Bureau of Archives and Records Management Mail Station 9A The Capitol Tallahassee, FL 32399-0250 RECORDS DISPOSITION REQUEST 2. DIVISION 3. BUREAU 5. CONTACT (Name ~ Telephone Number) ~. SUBMITTED ~Y: I h~r~by ~ttiJy th~t the re,otis to he are correcdy represented below, that any audit requirements for records have been fully just~d, and that further retention is not/ required for any litigation pen~ing or imminent· d'~ c ,j': " P '~c ~4L'~-*t''~ .'~' - 'Signature ' ~ ' Dale Name and Tide ' PAGE 1 OF ~. PAGES 7. BUREAU OF ARCHIVES & R CORDS MANAGEMENT REVIEW ANAlyst REviEW E/~7/~' ~ ARcH~vmT REWEW ~ ~'l 2 ~ 9 SUPERVISOR REVIEW 8. NOTICE OF INTENTION The scheduled records listed in Item 9 are to be disposed of in the manner checked below (specify only one): %%1 a. Destruction b. Microffiming and Destruction c. Other 9. LIST OF RECORD SERIES a. b, Schedule Item No. No. ~__n S :::Z, 22D FI C/~5~ 3i ~ Tide ~",wkS>r'der' 'F,'e lolls /q~ t'ho r'c~ ~d Retention (Division use Only) 3FY' eo Inclusive Dates q3-q5 qi -' Volume in Cubic Feet i'.40 9.0 c~ 3,o Disposition Action and i::)ate Completed After Authorization osa 5Fg Ic CF CJF * NOTE: FOR CONTINUATION USE Form LSSE108 * 10. DISPOSAL AUTHORIZATION (FOR D/V/S/ON USE ONL Y) Disposal (or the above listed records is authorized. Any deletions or modifications are indicated. 8EP 0 3 1999 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. Signature Date Name and Tide Witness NOTE: Upon disposition retain this form for your records.