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Dispositions Forms_34-19_10/2/2019_Human Resources
RECORDS DISPOSITION DOCUMENT NO. Jy�� 7 PAGE OF PAGES 1. AGENCY NAME 2. AGENCY CONTACT (Name and Telephone VILLAGE OF TEQUESTA Number) DEPARTMENT: HR Lori McWilliams, MMC (561) 768-0443 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 0b. Imaging and Destruction Oc. Recycle 0 d. Removed from Server 0 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 have peen fully justified, and that further retention is not required for any litigation pending or imminent. Merlene Reid 8/19/2019 Signature Name and Title (Senior Staff only) Date 5. LIST OF RECORD SERIES 6. a. Schedule b. Item C. Title d. Retention e. Inclusive f. Volume g. Disposition No. No. Dates in Cubic Action and Date Feet Completed After Authorization '-"J'S1-SL 88 cui 2006-2013 1 '-"JNS 1-SL 111 a,�s` 2001-2013 1.5 TOTAL CUBIC FEET THIS PAGE: 2.5 7. DISPOSAL AUTHORIZATION: Disposal for 8. DISPOSAL CERTIFICATE: The above and below listed records have the above listed records is authorized. Any been disposed of in the manner and on the date shown in column g. deletions or modifications are indicated. (Witness to the records disposition) Q nt� ,1?/ ?- i9 (1)a, ) !, (olal N Signature Date Custodian/Records Liaison Officer Date Name and Title Form Updated: 1/3/17