HomeMy WebLinkAboutDispositions Forms_21-20_10/5/2020_ClerkNO1
RECORDS DISPOSITION DOCUMENT
PAGE 1 OF 1 PAGES
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1. AGENCY NAME and ADDRESS
2. AGENCY CONTACT (Name and Telephone
VILLAGE OF TEQUESTA
Number)
345 Tequesta Drive
Lori McWilliams, MMC
Te uesta, 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 0 d. Removed from Server Of. 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 fullyfied, and that further retention is not required for any litigation pending or imminent.
Lori McWllllan1S pa 2 9nedb 13:20:13 04'00S Village Clerk
Signature Name and Title (Senior Staff only) Date
5 LIST OF RECORD SERIESEVEN,%%�
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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
375
TRUTH-IN-MILLAGE (TRIM) COMPLIANCE
FILEGS
5 FY
2005/2006 - 2013/201
1
Recycled - 10,
1-SL
65
CONTRACTS/LEASES/AGREEMENTS: NON -CAPITAL IMPROVEMENT
5FY
2002
.02
9/24/20
GS 1-S L
2
Administrative Convenience Records - duplicates of Couzzo contratcs
ROA
2000-2011, 2017
.25
10/5/2020
GS1-SL
3
Administrative Support Records
ROA
2017
.002
10/5/2020
GS1-SL
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.
deletions or modifications are indicat
S i91 ysig" Y
Lori McWilliams
Date; 2079.10.0913:22.20-04'00'
v ttt///•
Li ' n O icer Signature to
Signature Name/Tit e ate
utin
,Originates with Department Senior Manager, then 11. Originates with Department Senior Manager, then
Village Clerk's Office authorizes disposition, and returns to 2. Village Clerk's Office authorizes disposition and/or storage
i
Originating department to dispose and document column at the storage room and the "Clerk's Office" will conta
"g", originating depprtment then sends Public Works to take the records to storage/
Completed. f.,, t, f 1 ,,, lerk's Office for permanent /Clerk's Office will be responsi1, , isp�y
j� ' ` ��,
archival cords at this point
Form pdated;