HomeMy WebLinkAboutDisposition Forms_13-19_06/21/2019_PDForm Updated: 1/3/17
NO. 15 -19
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).
/L,*%
up a. Shred 0 b. Imaging and Destruction Oc. Recycle
0 d. Removed from Server 0 e. Other
4. SUBMITTED BY:
I hereby certify that the re s to be disposed of are correctly represented below, that any audit requirements for the
records h been justified, and that further retention is not required for any litigation pending or imminent.
M
Gustavo Medina 5/1/2019
SignaKfe Name and Title (Senior Staff only) Date
5. LIST OF RECORD SERIES
6.
a.
Schedule
b.
Item
C.
Title
d.
Retention
e.
Inclusive
Volume
9.
Disposition
No.
No.
Dates
in
Action and
Cubic
Date
Feet
Completed
After
Authoriza.dion
GS2
101
Citation Logs
1 Fiscal Year
01/01/2015 - 12/31/2016
.25
I
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
bepn disposed of in the manner and on the date shown in column g.
deletions or modifications are indicated.
Ail Iq
itn s to the records disposition)
Vture
Sign Date
&nb1z
Custodian/Records Liaison Officer Date
Na�ne arid Title
Form Updated: 1/3/17