HomeMy WebLinkAboutDispositions Forms_51-19_10/2/2019_FinanceRevised 09/02/14
RECORDS DISPOSITION DOCUMENT
NO. S —)
PAGE I OF 1�7 PAGES
I.AGENCY
Village of Tequesta
2.FINANCE
3. BUREAU
N/A
4. ADDRESS (Street, City, and Zip Code)
5. CONTACT (Name and Telephone Number)
345 Tequesta Drive
Lori McWilliams, CIVIC
Tequesta, FL 33469
561-575-6200 ext. 244
6. SUBMITTED BY: I hereby certify that the records to be disposed of are
7. NOTICE OF INTENTION
correctly represented below, that any audit requirements for the records
have been fully justified, and that further retention is not required for any
The scheduled records listed in Item 8 are to be disposed of in the
litigation pending or imminent.
manner checked below (specify only one):
Da. Destruction 0 b. Microfilming and Destruction
Signature ate
F7 a.1 Shred 0 a.2 Recycle
0 Imaging Destruction
c. and
d. Other
Name and Title: JOANN FORSYTHE FINANCE DIRECTOR
8. LIST OF RECORD SERIES
a.
Schedule
Item
b.
Item
No.
C.
Title
d.
Retention
e.
Inclusive
Dates
f.
Volume
in
Cubic
Feet
g.
Disposition
Action and Date
Completed After
Authorization
GS1-SL
85
BANK STATEMENTS
5 FISCAL
FY2013
1.5
GS1-SL
107
REPORTS
10FISCAL
FY2006
1.5
4C
J c�
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records
authorized. Any deletions or modifications are indicated
Signature: Date:
10. DISPOSAL CERTIFICATE The above listed records have been
disposed of in the manner and on the date shown in column g.
(Witness to the Records Disposition)
Signature: /Yl /n , >� Date:`b�IQ
Print Name: Lori McWilliams
Print Name:
Print Title: Village Clerk
Print Title:
NOTE: Upon disposition retain this form for your records
Revised 09/02/14
RECORDS DISPOSITION DOCUMENT
NO. �1-14
PAGE OF PAGES 1
1. AGENCY
Village of Tequesta
2. FINANCE
3. BUREAU
N/A
4. ADDRESS (Street, City, and Zip Code)
5. CONTACT (Name and Telephone Number)
345 Tequesta Drive
Lori McWilliams, CIVIC
Tequesta, FL 33469
561-575-6200 ext. 244
6. SUBMITTED BY: I hereby certify that the records to be disposed of are
7. NOTICE OF INTENTION
correctly represented below, that any audit requirements for the records
have been fully justified, and that further retention is not required for any
The scheduled records listed in Item 8 are to be disposed of in the
litigation pending or imminent.
manner checked below (specify only one):
Da. Destruction 0 b. Microfilming and Destruction
0 a.1 Shred L] a.2 Recycle
Signature - Da a
i
Gail"
0 c. Imaging and Destruction
0 d. Other
Name and Title
, 2
Schedule
Item
Inclusive
Dates
Volume
in
Cubic
Feet
..
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9. DISPOSAL AUTHORIZATION: Disposal for the above listed records
authorized. Any deletions or modifications are indicated
Signature: Date:
10. DISPOSAL CERTIFICATE The above listed records have been
disposed of in the manner and on the date shown in column g.
(Witness to the Records Disposition)
Signature: �y Date'( t
Print Name: Lori McWilliams
Print Name:
Print Title: Village Clerk
Print Title:
NOTE Upon disposition retain this form for your records
Revised 09/02/14
1. AGENCY
Village of Tequesta
RECORDS DISPOSITION DOCUMENT
2. FINANCE
NO. �i
PAGE � OF �p PAGES 1
3. BUREAU
N/A
4. ADDRESS (Street, City, and Zip Code)
5. CONTACT (Name and Telephone Number)
345 Tequesta Drive
Lori McWilliams, CMC
Tequesta, FL 33469
561-575-6200 ext. 244
6. SUBMITTED BY: I hereby certify that the records to be disposed of are
7. NOTICE OF INTENTION
correctly represented below, that any audit requirements for the records
have been fully justified, and that further retention is not required for any
The scheduled records listed in Item 8 are to be disposed of in the
litigation pending or imminent.
manner checked below (specify only one):
X---Ia. Destruction 0 b. Microfilming and Destruction
Signature Da
a.1 Shred 0 a.2 Recycle
�.,
c. Imaging and Destruction
Other
Name and Title —Ulw'
'2 4'44 -; V�— IL,d.
8. LIST OF RECORD SERIES
a.
Schedule
Item
b.
Item
No.
C.
Title
d.
Retention
e.
Inclusive
Dates
f.
Volume
in
Cubic
Feet
9•
Disposition
Action and Date
Completed After
Authorization
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9. DISPOSAL AUTHORIZATION: Disposal for the above listed records
authorized. Any deletions or modifications are indicated
Signature: Date:
10. DISPOSAL CERTIFICATE The above listed records have been
disposed of in the manner and on the date shown in column g.
(Witness to the Records Disposition)
Signature: Date: 'a. I(�j
Print Name: Lori McWilliams
Print Name:
Print Title: Village Clerk
Print Title:
NOTE: Upon disposition retain this form for your records
Revised 09/02/14
RECORDS DISPOSITION DOCUMENT I NO.
PAGE U OF
PAGES 1
I.AGENCY 2.FINANCE I
3. BUREAU
Village of Tequesta N/A
4. ADDRESS (Street, City, and Zip Code)
5. CONTACT (Name and Telephone Number)
345 Tequesta Drive
Lori McWilliams, CMC
Tequesta, FL 33469
561-575-6200 ext. 244
6. SUBMITTED BY: I hereby certify that the records to be disposed of are
7. NOTICE OF INTENTION
correctly represented below, that any audit requirements for the records
have been fully justified, and that further retention is not required for any
The scheduled records listed in Item 8 are to be disposed of in the
litigation pending or imminent.
manner checked below (specify only one):
Da. Destruction 0 b. Microfilming and Destruction
Signature ate
a.1 Shred = a.2 Recycle
0 c. Imaging and Destruction
d. Other
Name and Title: JOANN FORSYTHE FINANCE DIRECTOR
8. LIST OF RECORD SERIES
a.
Schedule
Item
b.
Item
No.
C.
Title
d.
Retention
e.
Inclusive
Dates
f.
Volume
in
Cubic
Feet
9-
Disposition
Action and Date
Completed After
Authorization
GS1-SL
85
BANK STATEMENTS
5 FISCAL
FY2013
1.5
GS1-SL
107 IREPORTS
10FISCAL
FY2006
1.5
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records
authorized. Any deletions or modifications are indicated
Signature: Date:
10. DISPOSAL CERTIFICATE The above listed records have been
disposed of in the manner and on the date shown in column g.
(Witness to the Records Disposition)
Signature: Date: to Q
I ILW LfJ 7
jai
Print Name: Lori McWilliams
Print Name:
Print Title: Village Clerk
Print Title:
NOTE: Upon disposition retain this form for your records
Revised : 4/6/12
RECORDS DISPOSITION DOCUMENT
NO. : j
PAGE OF PAGES
1.AGENCY
Village of Tequesta
2.DEPARTMENT
Finance
3.BUREAU
N/A
4. ADDRESS (Street, City, and Zip Code)
5. CONTACT (Name and Telephone Number)
345 Tequesta Drive
Lori McWilliams, MMC
Tequesta, FL 33469
561-768-0440
6. SUBMITTED BY: I hereby certify that the records to be disposed of are
7. NOTICE OF INTENTION
correctly represented below, that any audit requirements for the records
have been ustified, and that further retention is not required for any
The scheduled records listed in Item 8 are to be disposed of in the
litigati or immine
Vd
manner checked below (specify only one):
)1b3h(,
=a. Destruction a b. Microfilming and Destruction
Signatuf Date
0 a.1 Shred F-1a.2 Recycle
JoA orsythe, ance Director
0 c. Imaging and Destruction
L= d. Other
Name and Title
8. LIST OF RECORD SERIES
a.
Schedule
Item
b.
Item
No.
C.
Title
d.
Retention
e.
Inclusive
Dates
f.
Volume
in
Cubic
Feet
g.
Disposition
Action and Date
Completed After
Authorization
GS1-SL
340
Disbursement Records: Detail
5 FYS
FY2014
1.5
ed -�v dtS
ins
b
b►� I�
TOTAL CUBIC FEET:
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records
authorized. Any deletions or modifications are indicated
Signature: Date:
10. DISPOSAL CERTIFICATE The above listed records have been
disposed of in the manner and on the date shown in column g.
(Witness to the Records Disposition)
Signature: Date:
Print Name: Lori McWilliams
Print Name:
Print Title: Village Clerk
Print Title:
NOTE Upon disposition retain this form for your records
Amended. 2/8/16
VillageRECORDS DISPOSITION DOCUMENT
Tequesta
of
(obtain from Clerk's Office)
Office
PAGE OF PAGES
1. AGENCY 12. DEPARTMENT � � a � C �
Tequesta
J
3. ADDRESS
4. CONTACT
345 Tequesta Drive
Lori McWilliams, MMC
Tequesta, FL 33469
561-768-0440
5. SUBMITTED BY: I hereby certify that the records to
6. NOTICE OF INTENTION
be disposed of are correctly represented below, that
any audit requirements for the records have been fully
The scheduled records listed in Item 7 are to be
justified, and that further retention is not required for
ny litigatio_n pending or imminent.
disposed of in the manner checked below ecif s
(p y
only one):
Method of Destruction:
Depa ent a
a. Shred ❑ b. Recycle El
Signature Date
7. LIST OF •-D
SERIES
a. b. C.
Schedule Item rdle
d. e. f. 9-
Retention Inclusive Volume Disposition
Item No.
Dates in Action and Date
Cubic Completed After
Feet Authorization
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8. DISPOSAL AUTHORIZATION: Disposal for the
9. DISPOSAL CERTIFICATE The above listed
above listed records authorized. Any deletions or
records have been disposed of in the manner
modifications are indicated.
and on the date shown in column g. (Witness to
the Records Disposition)
Signature:Date:
Signature: Date:
Print Name: Lori McWilliams
Print Name:
Print Title: Village Clerk
Print Title:
Revised: 7/27/12
NOTE: Upon disposition submit the original fully completed
form to the Village Clerk's Office.
GS1-SL
GS1-S1L
Description
Retention
Item #
Record Series Title
392
blic Records Exempt Status Notification
[and
This record series consists of written requests from individuals to agencies notifying them of
Retain until disposition of record(s) to which notification or
Redaction Requests
personal information in public records that is exempt from public disclosure. The series may
request relates or until request is withdrawn or exemption
include, but is not limited to, notifications that an individual has exempt status under
no longer applies, whichever is sooner.
Sections 119.071 (general exemptions), 493.6122 (private investigative, private security,
and repossession services), and 741.465 (domestic violence victims), Florida Statutes, and
other applicable sections; and redaction requests to Clerks of Court to remove confidential
and/or exempt information from the Official Records and/or other public records held by the
clerk.
42
Purchasing Records
This record series consists of copies of purchase orders which are retained by the
5 fiscal years.
originating office while another is sent to the Purchasing/Business Office and the
appropriate vendor for action. The series may include, but is not limited to, copies of
requisitions sent by the originating office to supply, purchasing, graphics, duplicating, or
other sections for action; copies of receiving reports; and a log of outstanding and paid
requisitions and purchase orders used for cross-referencing purposes. See also
292
Radio Logs
This record series consists of a log recording the time radio calls were received/placed, who
1 fiscal year.
the transmitting parties were, the reason for the call, if additional units were dispatched to a
location, or if information was retrieved and transmitted back to the caller. These logs may
be used in regards to police, fire, EMS, or other radio dispatch operations including road
and bridge or development departments. See also "911 RECORDS: LOGS" and
293
Rain Checks
This record series documents rain checks issued to persons who have paid a fee or charge
3 fiscal years.
for an event, service, activity, or commodity that cannot be provided as scheduled. The
records provide date rain check was issued, event or item to be provided, expiration date,
any limitations on use of the rain check, and name of the staff member issuing the rain
364
Real Property Records:
This record series documents the demolition and clearance of buildings deemed unfit for
5 anniversary years after final action.
Condemnation/Demolition
occupancy or condemned, including demolition orders, inspection reports, notices to
172
Real Property Records: Property Acquired
This record series consists of documents pertaining to real property acquired by a
3 fiscal years after agency's final disposition of property.
government agency. The series may include agency property deeds, appraisals, surveys,
and other supporting documents. See also "REAL PROPERTY RECORDS: PROPERTY
164
Real Property Records: Property Not
This record series consists of documents pertaining to real property considered for
3 fiscal years.
Acquired
acquisition but not acquired by a government agency. The series may include appraisals,
surveys, and other supporting documents. See also "REAL PROPERTY RECORDS:
365
Receipt/Revenue Records: Detail
This series consists of records documenting specific receipts/revenues collected by an
5 fiscal years.
agency through cash, checks, electronic fund transfers (EFT), credit and debit cards, or
other methods. The series may include, but is not limited to, records such as cash
collection records and reports, cash receipt books, cash register tapes, deposit/transfer
slips, EFT notices, credit and debit card records, receipt ledgers, receipt journal
transactions and vouchers, refund records, bad check records, and other accounts
receivable and related documentation. Retention is based on Section 95.11(2), Florida
Statutes, Statute of Limitations on contracts, obligations, or liabilities. See also
Page 37 of 45 Effective 10/1 /2013
GS1-SL I
GS1-SL
Description
Retention
Item #
Record Series Title
56
Audits: Independent
This record series consists of a report, including any appropriate financial statements,
10 fiscal years.
issued by an independent auditor to establish the position of the agency being audited
against its standard of performance. The audits may be instigated by any agency,
organization, or internal management. These records are created pursuant to Section
11.45, Florida Statutes, Definitions; duties; authorities; reports; rules (Auditor General),
and/or Section 215.97, Florida Statutes, Florida Single Audit Act. See also "AUDITS:
AUDITOR GENERAL," "AUDITS: INTERNAL," "AUDITS: STATE/FEDERAL," and
73
Audits: Internal
This record series consists of a report issued by an internal auditor to establish the position
5 fiscal years.
of the agency being audited against its standard of performance. The audits may be
instigated by any agency, organization, or internal management. Records of internal audits
for state agencies are created pursuant to Section 11.45, Florida Statutes, Definitions;
duties; authorities; reports; rules (Auditor General) and/or Section 20.055, Florida Statutes,
Agency inspector generals. See also "AUDITS: AUDITOR GENERAL," "AUDITS:
INDEPENDENT," "AUDITS: STATE/FEDERAL," and "AUDITS: SUPPORTING
83
Audits: State/Federal
This record series consists of a report issued by a federal or state auditor to establish the
10 fiscal years. State agencies must contact the State
position of the agency being audited against its standard of performance. The audits may
Archives of Florida for archival review before disposition of
be instigated by any agency, organization, or internal management. Records of such audits
records. Other agencies should ensure appropriate
for state agencies are created pursuant to Section 11.45(3), Florida Statutes Definitions;
preservation of records determined to have long-term
authorities; reports; rules (Auditor General). See also "AUDITS: AUDITOR GENERAL,"
historical value.
"AUDITS: INDEPENDENT," "AUDITS: INTERNAL," and "AUDITS: SUPPORTING
57
Audits: Supporting Documents
This record series consists of the documentation and supporting documents used to
3 fiscal years.
develop the audit report with all bills, accounts, records, and transactions. The audit may be
instigated by any agency, organization, or internal management. See also "AUDITS:
AUDITOR GENERAL," "AUDITS: INDEPENDENT," "AUDITS: INTERNAL," and "AUDITS:
50
Automated Accounting System Reports
This record series consists of reports generated by an agency's automated accounting
3 fiscal years.
system, such as SAMAS (State Automated Management Accounting System), FLAIR
(Florida Accounting & Information Resource), Aspire, or other automated accounting
system. Included are such reports as a log of all updated transactions entered into the
system and a financial statement for each month for all divisions and/or bureaus of the
agency. See also "DISBURSEMENT RECORDS: DETAIL," "DISBURSEMENT RECORDS:
SUMMARY," "RECEIPT/REVENUE RECORDS: DETAIL," "RECEIPT/REVENUE
RECORDS: SUMMARY," and "FINANCIAL HISTORY SUMMARY RECORDS."
397
Ballots
This record series consists of ballots and related records for elections conducted to
30 days after vote count or cancellation of election.
determine issues not governed by Florida election laws. This may include votes on
issues addressed by municipal pension board members, advisory councils and committees;
election of a chair by board members; election of members of a pension board by
employees; and other similar instances. The series may include, but is not limited to:
nomination forms, ballots, envelopes, vote tally sheets, and related unused forms. NOTE:
For ballots and vote sheets for votes that are required to be taken in public by public officers
at public meetings as defined in Section 286.011, Florida Statutes, use MINUTES:
OFFICIAL MEETINGS (PRELIMINARY/AUDIO RECORDINGS/VIDEO RECORDINGS).
NOTE: For ballots and other records relating to elections governed by Florida election laws,
85
Bank Statements: Reconciliation
This record series consists of monthly statements of bank accounts and reconciliations to
I show clebits. credits, and cash balance In the account,
scal years.
rf
Page 5 of 45 Effective 10/1 /2013