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RECORDS DISPOSITION DOCUMENT NO. <br /> PAGE 1 OF 1 PAGES <br /> 1 . AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone Number) <br /> Indian River County Ellen Salm <br /> Department of Emergency Services <br /> Fire Rescue <br /> 4225 43rd Avenue , Vero Beach , FL 32967 ( 772 ) 226 - 3865 Ext . <br /> 3. NOTICE OF INTENTION: The scheduled records listed in Item 5 are to be disposed of in the manner checked below (specify only <br /> one). <br /> ® a. Destruction ❑ b. Microfilming and Destruction ❑ c. Other <br /> 4. SUBMITTED BY: I hereby certify that the records to be disposed of are correctly represented below, that any audit requirements <br />for <br /> the rc s have been fully justified, =1d that further retention is not required for any litigation pending or imminent. <br /> Ar*J eJ L to - � 3 <br /> /ignature Name and Title Date <br /> 5. LIST OF RECORD SERIF <br /> f. g1 <br /> a. b. c, d e. Volume Disposition <br /> Schedule Item Title Retention Inclusive In Action and <br /> No. No. Dates Cubic Date <br /> Feet Completed <br /> After <br /> Authorization <br /> GS4 80 Patient Medical Records 7 CY 2000 - 2003 2 n <br /> GS4 127 Inventory Records : Drugs 2CY 1989 - 2005 1 . 5 <br /> GSI - 98 Disciplinary Case Files 5 CY 1994 - 2003 2 <br /> SL <br /> GSI - 139 Promotion /Transfer Records 4 CY 2000 - 2004 1 . 5 <br /> SL <br /> GSI - 24 Employment Application and Selection 2CY 2000 - 2004 2 <br /> SL Records <br /> GS8 46 Training Records : Student Evaluations 2CY 1990 - 2000 2 <br /> (Finals) <br /> Total <br /> 11 CF <br /> 6. DISPOSAL AUTHORIZATION : Disposal for the above listed 7. DISPOSAL CERTIFICATE: The above listed records have been <br /> records is authorized. Any deletions or modifications are indicated. ispos the mand on the date shown in colu -n g. <br /> ? � � 3 <br /> Signature Date <br /> stodian/Records Manageme a son icer D toa and <br /> Witn s <br />