HomeMy WebLinkAboutDisposition Forms_14-19_06/21/2019_PDForm Updated: 1/3/17
NO.
RECORDS DISPOSITION DOCUMENT
PAG E OF I PAGES
1. AGENCY NAME
2. AGENCY CONTACT (Name and Telephone
VILLAGE OF TEQUESTA
Number)
Lori McWilliams, MMC
DEPARTMENT: Police
(561) 768-0443
L
3. NOTICE OF INTENTION: The scheduled records listed in Item 5 are to be disposed of in the manner checked
below (specify only one).
@) a. Shred 0 b. Imaging and Destruction Oc. Recycle
0 d. Removed from Server e. Other
4. SUBMITTED BY:
I hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for the
records h been f Ily justified, and that further retention is not required for any litigation pending or imminent.
Gustavo Medina 5/1/2019
Signateire Name and Title (Senior Staff only) Date
5. LIST OF RECORD SERIES
6.
a.
b.
C.
d.
e.
9.
Schedule
Item
Title
Retention
Inclusive
Volume
Disposition
No.
No.
Dates
in
Action and
Cubic
Date
Feet
Completed
After
Authomiation
GS2
103
CITATIONS
60 Days After Issued
1/l/2016-12/31/2018
.25
TOTAL CUBIC FEET THIS PAGE:
7. DISPOSAL AUTHORIZATION: Disposal for
8. DISPOSAL CERTIFICATE: The above and below listed records have
the above listed records is authorized. Any
bee dis sed of in the manner and on the date shown in column g.
deletions or modifications are indicated.
ness the records di
Sign ur);�' tDate
r�v64 4 cm
Custodian/Records Liaison Officer Date
Nanie'and Titfe
Form Updated: 1/3/17