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.