HomeMy WebLinkAboutDispositions Forms_48-19_10/3/2019_Clerk / / �/ // / /' / / AV/ NO.
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1. AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone
VILLAGE OF TEQUESTA Number)
345 Tequesta Drive Lori McWilliams, MMC
Tequesta, FL 33469 (561) 768-0443
3. NOTICE OF INTENTION: The scheduled records listed in Item 5 are to be disposed of in the manner specified
below (specify only one).
0 a. Shred at Department Level 0 c. Send to Storage until e. Recycle
Disposition Date Met
0 b. Send to Storage for Shredding ® d. Removed from Server f. Other
4. SUBMITTED BY:
I hereby certify that the records to w, that any audit requirements for the
records have been fully justified, andbe that furtherdisposedof retentionare iscorrectly not requiredrepresented forbeloany litigation pending or imminent.
DLri cm
Village Clerk 10/03/19
Lon Date:igitally 20191003signedby14:38oM:13Willia-04'00s' 9
Signature Name and Title (Senior Staff only) Date
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a. b. c. d. e. f. g.
Schedule Item Title Retention Inclusive Volume Disposition
No. No. Dates in Action and
Cubic Date
Feet Completed
After
Authorization
GS1-SL 147 TRAINING MATERIAL RECORDS ROA 2007-2015 2
3 ADMINISTRATIVE SUPPORT RECORDS-(Mayo notary log) ROA 2009-2013 .001
23 INFORMATION REQUEST RECORDS 1 FY 2015 .001
17 CORRESPONDENCE AND MEMORANDA:ADMINISTRATIVE 3 FY 2007-2015 1
2 ADMINISTRATIVE CONVENIENCE RECORDS ROA 2007-2016 1
TOTAL CUBIC FEET THIS PAGE: 3.001
6. DISPOSAL AUTHORIZATION: Disposafor 7. DISPOSAL CERTIFICATE: The above listed records have been
the above listed records is authorized. Alny disposed of in the manner and on the date shown in column g.
deletions or modifications are indicated.
Lori McWilliams°'9'""Ys'9°�bY`°`'"'°`"""a`"s 10/03/19 Lori McWilliams "°"Y�9°°°bYa Village Clerk 10/03/19
Date:2019.10.03 14:39:48-04'00' 1:59 2079.10.07 74:39:57-04'00'
Records Liaison Officer Signature
Date Signature Name/Title Date
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Continuation Page
a. b. c. d. e. f. g.
Schedule Item Title Retention Inclusive Volume Disposition
No. No. Dates in Action and
Cubic Date
Feet Completed
After
Authorization
405 LIEN DOCUMENTATION FILES 5 FY 2015 .001
(Release of Lien - Susan D. Wiley)
TOTAL CUBIC FEET THIS PAGE: .001