HomeMy WebLinkAboutDispositions Forms_67-19_2/12/2020_Utilities NO.
RECORDS DISPOSITION DOCUMENT PAGE OF PAGES
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).
a. Shred at Department Level c. Send to Storage until e. Recycle
Disposition Date Met
b. Send to Storage for Shredding d. Removed from Server f. Other
4. SUBMITTED BY:
hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for the
records have be fully justified, and that further retention is not required for any litigation pending or imminent.
�160X C- ZP1141h4 AM?
3
Signatu Name and Title ( e or Staff only) Date
57,LIST.OF RECORD;SERIES
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
CYEsc-s� 1-7 JAa h/II
2.c�1 e �►
Af s t7
�-SC- 3 q�
TOTAL CUBIC FEET THIS PAGE:
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.
d letions or modifications are indicated.
f l uv / f I(,(,Q sc,,s t a>r
Records Liaison Officer Signature Date nature Name/Title D e
.._:, a- r.>,i y- ,,,t.r .< --::s',.- -2T� y,-' Y .s �esf. •r a1n cc L Lame 4__
1,�On( nates with De ,artment Sen►or_Ilanage„cfhen r 1 Originates with DepartmenSen►or Nana er;then^ y
_�.�r .. e. :t `Rt3;. ;gars •�- `:+ i.
2 V►Ila e Clerk's Office,authorize d►sposit►on,and returns to 2 Village Cler s OfFce authorizes disposit►on,andlorstnrage;!,
3 Originating departrnentto dispose and documentUR
ME
column g, . a#fhe storage room and will contact Rubl►c Works to remove
then ends y recortls F L F '
4_ Comptefedform to V►Ilage Clerk'sOffice for permanent 3 Clerk's Office w►II be responsiin
ble for fai d►spos►tion of
archival = recortls at this point e
_ _ � _ Form Updated 4/91/18;: