Request 593 - Human Resources NO.
RECORDS DISPOSITION DOCUM£NT
1. AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone Number)
3. NOTICE OF INTENTION: The scheduled records listed in Item 5 are to be disposed of in the manner checked below {speci~ only
ore).
~a. Destruction ~ b. Microfilming and Destruction ~ c. Other
4. SUBMI~ED BY: I hereby ce~i~ that the records to be disposed of are correctly represented below, that any audit requirements for
the records have. been fully justified, ~nd that fu~her retentio~not ~e~uired for any litigation pending or imminent.
Signature -- Title ' ~ Date
f. g.
a. b. c. d. e. Volume Disposition
Schedule Item Title Retention Inclusive In Action and
No. No. Dates Cubic Date
Feet Completed
After
............................................................................................................................................................................................................................................................................................................................................ C ........ ;~ .....................
.................................................................................................................................................................................................................................................................................... ~ .................................................... ~: ;"~" -2~ ~" '-"-';~Q ................ :'-'
........................................................................................................................................................................................................................................................................... : ............................................................ ~!'--"5 :'"'-'-~ ........................
~I.1 .....................................................
6. DISPOSAL AUTHORIZATION: Disposal for the above listed records 7. DISPOS~ CERTIFICATE: The above listed records have been
is authorized. Any deletions or m~ifi~tions are indicted, disposed of in the manner and on the date shown in ~lumn g.
Signature ~ . , _~ Date
Gustodian/Ro~s Management Uaison Officer~ Date ~ame and
Witne~
OEC-]7-2OO~(FRI) ]9:50
(FRX)305 ~77 1841
o~ternab'°na/
P 00~/004
TO: FROM:
City of Miami Beach
Yarily Sam
1700 Convention Cent:r Dr. ]rd Floor
Miami Bemck, FL 33139
International Data D~ository
Silvia Calderon
5195 N. W. 77'h .4.venue
Miami, FL 33166
APPROVAL FOR RECORDS TO BE DISPOSED OF:
TR BOX # Description
1
2
3
4
Worker's Compcrmtton ll. ecord~ (Duplica[¢)
Worker's Comp~flon Records
Work~'s Compen~i~n Records (Dupli~tc)
Worker's Comp~tion Records (Dupll~m~
Worker's Compc~tlon Rcgord$ ~upllmt,)
M~c. lnfo~afion ~m Bcncfim Division
Misc. ~o~afion ~om B~fim Di~gion
Mts;. ~o~ation ~m Beneflm Di~sion
Misc. Information fram Be~m Dlvlsion
Total # of Boxes: 9
Approved By CSlgnamre)
Pr[at Name
DaLe
Title
5195 NW 77th Avenue - Miami, Florida 33166 ' (305) 477-7388 - Fax (305) 477-1841 ' http://www, intdd.com
DEC- 7-~O0~(FRI) ~g:50 [OD (FA×)305 ~?? 18~1 P 003/00~
i[ CERTIFICATE OF
DESTRUCTION
/ T.~. ~so,~ ~co~s W~RE DESTRO~D ON: ~J_I.C~I~
METFIOD OF DESTRUCTION: SI:[REDD~G
Title '~ Datc ' ] I
5195 NW 77th Avenue - Miami, Florida 33166 · (305) 477-7388 ' Fax (305) 477-1841 - http:/Iwww, lntdd.com