HomeMy WebLinkAboutDispositions Forms_11-08_12/17/2008_Clerk RECORDS DISPOSlTIOM DOC~!!!4ENT NO~
Revised 11!9/07 PAGE 1 OF 1 PAGES ~
1. AGENCY
Village of T equesta 2. DEPARTMENT
Village Clerk -Recording Secretary 3. BUREAU
N/A
4. ADDRESS (Street, City, and Zip Codey
345 Tequesta Drive
Tequesta, FL 33469 5. CONTACT (Name and Telephone Number)
Lori McWilliams, CMC
561-575-6200 ext. 244
6. SUBMITTED BY: I hereby certify that the records to be disiwsed of are 7. NOTICE OF INTENTION
correctly represented below, that any audit requirements for the records
have been fully justlfied, and that further retention is not required for any The scheduled records listed in Item 8 are to be disposed of In the
litigation pending or imminent. manner checked below (specify only one):
Signature Date ~. Destruction ~ b. Microfilming and Destruction
u a.t Shred ~ a.2 Recycle
0 c. Imaging and Destruction
Name and Title 0 d. Other
8. 1137 OF RECORD SERIES
a.
Schedule
Item b.
Item
No. c.
Title d.
Retention e.
Inclusive
Dates f.
Volume
in
Cubic
Feet g.
Disposition
Action and Date
Completed After
Authorization
GS1-SL 32 Minutes 8 supporting
documentation -Pension -copies Roo Zoos-zoos 1.5
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records
authorized. Any deletions or modifications are indicated 10. DISPOSAL CERTIFICATE The above listed records have been
disposed of in the manner and on the date shown in column g.
(Witness to the Records Disposition)
Signature: Date: Signature: Date:
Print Name: Lori McWilliams Print Name
Print Title: Village Clerk Print Title: _
NOTE: Upon disposition retain this form for vour records