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MAR 51980 <br />BOOK 4,Gq PACE $Q <br />;ji <br />NOTICE OF INTENT <br />t <br />STATE OF FLORIDA <br />DEPARTMENT OF STATE <br />Division of Archives. History and <br />� <br />TO DESTROY SCHEDULED RECORDS (F <br />NOTICE NO. <br />1 <br />PAGE 1 OF PAGES <br />Rocords Management <br />Forin DS RM 107 0 72) <br />J <br />AND DISPOSAL CERTIFICATE 77 <br />1. AGENCY <br />2. DIVISION <br />3. BUREAU <br />4. ADDRESS (Street, City and Zip Code) <br />5. CONTACT (Name & Telephone Number) <br />P.O. box 1028 <br />Mrs. Freda Wright <br />Vero Beach, Florida 32960 <br />1-305-569-1200 <br />® <br />6. NOTICE OF INTENTION: <br />The scheduled records listed in Item 8 are to be disposed of in the manner <br />�' <br />RECEIVED <br />RECEIVED <br />checked below: <br />a. Destruction U b. Microfilming and Destruction <br />TO: AN �� {�O� <br />c. Other <br />DEPARTMENT OF STAT — .. <br />DIVISION OF ARCHIVES, HISTORY <br />AND RECORDS MANAGET <br />7. SUBMITTED BY: <br />TALLAHASSEE, FLORIDA $3 t ° <br />I hereby certify that the records to be disposed of are correctly <br />represented below and th t any audit requirements for the records <br />have pen fully satisfie . <br />Signature Date <br />i {- ('Hurt <br />Fr 7�r-1� (`1 C' (i rc�l i <br />ype Name 8 it e <br />8. RECORD SERIES LIST <br />r36,ff <br />I. <br />a. <br />b. <br />t, <br />d• <br />Destruction <br />Schedule <br />Item <br />Title <br />Inclusive <br />Volume <br />Action and Date <br />ate ter <br />Nu, <br />No. <br />Datesomp <br />Approval <br />1 <br />1 <br />Receipts used as original documents <br />1959 <br />50 Cu. F <br />for recording monies received by <br />1976 <br />the Board of County Commissioners. <br />1 <br />2 <br />Vouchers used as original documents_ <br />1959 <br />80 Cu. Ft <br />for recording monies disbursed by <br />1976 <br />the Board of County Cce1t<nissioners. <br />9 DISPOSAL AUTHORIZATION <br />10. DISPOSAL CERTIFICATE • <br />The above listed records have been disposed of in the manner and on <br />Disposal for above listed records is authorized. Any delettons or <br />the date shown to column f. <br />modifications ar ted in red. <br />19 A zy <br />Signature Date <br />Type Name and Title <br />UuiKaot. Chvision Archi s, istory ,��.�,,� le <br />and Records Management <br />Witness <br />;ji <br />