HomeMy WebLinkAboutDisposition Forms_12-19_06/21/2019_PDForm Updated: 1/3/17
NO -
RECORDS DISPOSITION DOCUMENT
PAGE OF 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. S h red b. Imaging and Destruction c. Recycle
kf) 0 0
0 d. Removed from Server e. Other
4. SUBMITTED BY:
I hereby certif that the records to_W disposed of are correctly represented below, that any audit requirements for the
records hal en fully jus d that further retention is not required for any litigation pending or imminent.
55aF�!M
ustavo Medina 5/1/2019
Signatodire 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
Cubic
Action and
Date
Feet
Completed
After
Authorization
GS2
34
Activity Logs
1 Ann. Year
1/l/2015-12/31/2017
.25
R
T�K
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
be(pn di posed of in the manner and on the date shown in column g.
deletions or modifications are indicated.
ne to the records disposition)
V "—� I L4 t
Signat�14� Date
PA�v 0
Custodian/Records Liaison Officer Date
Name and Title
Form Updated: 1/3/17