Loading...
HomeMy WebLinkAboutDispositions Forms_01-09_02/09/2009_Manager RECORDS DISPOSITION DOCUMENT No. 1-09 Revised 11/9/07 PAGE OF 1 PAGES 1. AGENCY Village of Tequesta 2. DEPARTMENT Village Manager 3. BUREAU N/A 4. ADDRESS (Street, City, and Zip Code) 5. CONTACT (Name and Telephone Number) 345 Tequesta Drive Lori McWilliams, CMC `~sc~~. T Tequesta, FL 33469 heo. 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 hav en 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 liti ation pending or immi ent. manner checked below (specify only one): Signature ate ~a. Destruction ~ b. Microfilming and Destruction 0 a.1 Shred © a.2 Recycle Debra Telfrin, Executive Asst. to Manager 0 c. Imaging and Destruction Name and Title 0 d. Other 8. LIST OF RECORD SERIES a. Schedule Item b. Item No. c. Title d. Retention e. Inclusive Dates f. Volume in g. Disposition Action and Date Cubic Feet Completed After Authorization GS1-SL 146 Transitory Messages Roa 2005, Zoos, 2ooa, 2004 ~ ~ ~% ,,, / GS1-SL 365 Receipt/Revenue Records: Detail 5 FY Zoos .025 ~e 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) Si nature: ~~1 L ~ 1. Date: Si nature:._ ~" ~ Date' ~ /~ Print Name: Lori McWilliams Print Name: L ~(t ~ ~~ Jt, Print Title: Village Clerk Print Title: L! t l ~ t! NOTE: Upon disposition retain this form for vour records