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RECORDS DISPOSITION DOCUMENT <br />NO. <br />PAGE OF PAGES <br />1. AGENCY NAME and ADDRESS <br />Indian River County Fire Rescue <br />4225 43rd Avenue <br />Vero Beach, FL 32967 <br />2. AGENCY CONTACT (Name and Telephone Number) <br />Brian Burkeen, Assistant Chief <br />(772) 226 - 3864 Ext. <br />3. <br />NOTICE OF INTENTION: The scheduled <br />one). <br />■ a. Destruction ■ <br />records listed in Item 5 are to be <br />b. Microfilming and Destruction <br />disposed of in the manner checked below (specify only <br />►X4 c. Other Scanned and Destruction <br />4. SUBMITTED <br />the recor <br />BY: I hereby <br />s have been f <br />CPmr L <br />certify <br />Ily <br />that the records to be disposed of are correctly represented below, that any audit requirements for <br />' stified, and that further retention is�not trrequired for any litigationp(pending or imminent. <br />ic1a_c-li. b9',r,a_4). 1, c),- .iLi5 J-f a-C-i p5-5-4,5 ?-it-(6- <br />Y -11'L'' <br />Si nature <br />Signature <br />9 Name and TitleDate <br />•, ; . 5. ;LIST�OF RECORD SERIES <br />a. <br />Schedule <br />No. <br />b. <br />Item <br />No. <br />c, <br />TitleRetention <br />d <br />e., <br />Inclusive <br />Dates <br />f. <br />Volume <br />In <br />Cubic <br />Feet <br />9. <br />Disposition <br />Action and <br />Date <br />Completed <br />After <br />Authorization <br />GSI- <br />SL <br />23 <br />Information Record Requests <br />1 CY <br />May thru June 2015 <br />1.5 <br />Sco.nnad <br />&hi. edded <br />8.12.15 <br />6. DISPOSAL AUTHORIZATION: Disposal for the above listed <br />records is authorized. Any deletions or modifications are indicated. <br />-, <br />( U� / c �/.5J <br />7. DISPOSAL CERTIFICATE: The above listed records have been <br />di osed of in the ma ner and on the date shown in column g. <br />firm c.. ted' I L I' c h c„.., c Y • (2 I S. <br />Signature \(` / J /� Date <br />.1)1 n r\ r. �; G�,f1 v ,-S V `i q ! �r /' ss-,_/ .1. <br />Custodian/Records Managemen :is.n Officer / pate <br />.0. <br />Name a Title <br />6t.:,.. <br />Witness <br />