HomeMy WebLinkAboutDispositions Forms_12-08_12/17/2008_Clerk RECORDS DISPOSITION DOCUMENT No. 12-08
Revised 11/9/07 PAGE OF 1 PAGES
1. AGENCY
Village of Tequesta 2. DEPARTMENT
Village Clerk 3. BUREAU
N/A
4. ADDRESS (Street, City, and Zip Code) 5. CONTACT (Name and Telephone Number)
345 Tequesta Drive Lori McWilliams, CMC
Tequesta, FL 33469 561-575-6200 ext. 244
6. SUBMITTED BY: I hereby certify that the records to be disposed of are 7. NOTICE OF INTENTION
correctly represented below, that any audit requirements for the records
have been fully justified, 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 ~a. Destruction 0 b. Microfilming and Destruction
0 a.1 Shred 0 a.2 Recycle
0 c. Imaging and Destruction
Name and Title ~ d. Other
8. LIST OF RECORD SERIES
a.
Schedule b.
Item c.
Title d.
Retention e.
Inclusive f.
Volume g.
Disposition
Item No. Dates in Action and Date
Cubic Completed After
Feet Authorization
120 Consumer Confidence Reports - 5FY 2000-2002 .5 Recycled /~~
Utilities out of
GS14 Laserfiche
GS1 LS 85 Bank Statements Reconciliation 5FY 1997 - 2001 5.5 Shredded
GS1 LS 340 Disbursement Records: Detail 5FY 95-03 19.67
Shredded
GS1 LS 341 Disbursement Records: Summary 10 FY 95 - FY 97 1o Shredded
GS1 LS 35 Pa roll Records: Posted
Y 5FY s1-s8, 2000
9.5
Shredded
GS1 LS 340 Disbursements Records: Detail 5FY 99-01
16.5
Shredded
(gen/water)
GS1LS 40 Invento A enc Pro ert
rY~ 9 Y P Y 3 FY 98/99 2
Shredded
GS1 LS 365 Receipt /Revenue Records: Detail 5FY 99-01, 03 4.1
Shredded
GS1 LS 141 Work Orders 3 FY 99-01 3 Shredded
GS1 LS 122 Administrative Records: Agency 1o anniv 9a-ss 1 Recycled
Director Year
GS1 LS 3 Administrative Support Records RoA 95, 9s, oo, 02 .5 Recycled
GS1 LS 288 Permits: Signs 3 FY o4 .1 Shredded
GS1LS 17 Correspondence & Memoranda 3 FY oa 1 Shredded
l~
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: ~'-" ~-~ - x ~ ,Z Date:~r~-/ t~~ / ~ (,
it
I
Print Name: Lori McWilliams I ~ `
Print Name: f`
Print Title: Village Clerk Print Title: '~ ~` l ~.Q~(,L
NOTE: Upon disposition ret n this form for your records