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HomeMy WebLinkAboutDispositions Forms_58-19_2/12/2020_Utilities NO. 58-19 RECORDS DISPOSITION DOCUMENT PAGE 1 OF 1 PAGES 1. AGENCY NAME 2. AGENCY CONTACT(Name and Telephone VILLAGE OF TEQUESTA Number) Lori McWilliams, MMC DEPARTMENT: Utilities- Production (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). Qa. Shred Q b. Imaging and Destruction Q c. Recycle 0 d. Removed from Server Q 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 h ve been fully justified, and that further retention is not required for any litigation pending or imminent. 01 : ,IJ�4M? Si nature arae and Title (Senio Staff only) Date 5. LIST OF RECORD SERIES 6. 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 GS 14 131 Treatment Plant Reports 4 Ann.yrs. 2005 - 2014 1 R t Ad Treated Water Pumpage I to-z© TOTAL CUBIC FEET THIS PAGE: 1 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) Signature Date Custodian/Records Liaison Officer ate < < C ( 1,Lf r I Gl(it uyt Name and Title Form Updated: 1/3/17