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ilt1. 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 ® 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 be disposed of are correctly represented below, that any audit requirements for the
records have been fully justified, and that further retention is not required for any litigation pending or imminent.
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 122 ADMINISTRATOR RECORDS:AGENCY 10 Ann Yr: 10/2001-7/2007 1
DIRECTOR/PROGRAM MANAGER
64 CONTRACTS/LEASES/AGREEMENTS CAPITAL IMPROVEMENT/REAL PROPERTY 10 FY 1976-1977, 1989 1
35-7 Lobbyist-7ej;u-nY4 t ti I?cc.a al f 5 FN 1oha i. dog 3 •ool
TOTAL CUBIC FEET THIS PAGE: Q.
6. DISPOSAL AUTHORIZATION: Disposal for 7. DISPOSAL CERTIFICATE: The above listed records have been
the above listed records is authorized. Any disposed of in the manner and on the date shown in column g.
deletions or modifications are indicated.
Lori McWilliams Digitally signed by Lori McWilliams 10/03/19 Lori McWilliamS DigilallysignedbyLwiMCWilliams Village Clerk 10/03/19
Date:2019.10.03 14:36:48-04'00' Dale:2019.10.0314:36:54-04'00'
Records Liaison Officer Signature Date Signature Name/Title Date
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