HomeMy WebLinkAboutDispositions Forms_22-20_10/26/2020_ManagerNo. 'a .dv
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
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).
Oa. Shred at Department Level O c. Send to Storage until O e. Recycle
Disposition Date Met
Ob. Send to Storage for Shredding O 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
reco ds have been fully justified, and that further retention is not required for any litigation pending or imminent.
md 5,2�.yP�10 JI&I a-n
Signature Name and Title (Senior Staff only) Date
5. 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
GS1-SL
116
Attendance and Leave Records
3 FY
2012-14
.01
S
GS1-SL
195
Payroll Records; Supporting Docs
2012
.01
GS1-SL
23
Information Request Records
1 FY
2018
.02
GS1-SL
238
Public Program Event Records
5 ys
2012
.01
GS1-SL
25
Advertisements/Legal
5 FY
2011-2015
.01
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.
or odifications are indicated.
,lnetions
l�
Records Liaison Officer Signature Date
Signature Name/Title Date
Routin
:
1. Originates with Department Senior Manager, then
1. Originates with Department Senior Manager, then
2. Village Clerk's Office authorizes disposition, and returns to
2. Village Clerk's Office authorizes disposition and/or storage
3. Originating department to dispose and document column g,
at the storage room and will contact Public Works to remove
then sends
records
4. Completed form to Village Clerk's Office for permanent
3. Clerk's Office will be responsible for final disposition of
archival
records at this point
Form Updated: 4/11/18
OR
4/October 2020
Maryann/Lori
I found these files in the second file drawer. They have all been "tagged" for disposal (see attached
sheets) but never was executed. One box in the hallway contains these files.
VILLAGE OF TEQUESTA
2018 Lien Requests
INFORMATION REQUEST RECORDS
ITEM # 23
This record series consists of correspondence and supporting
documentation accumulated in answering inquiries from the public.
The series may include requests for: inspection and/or copies of
public records (public records requests), publications or services
provided by the agency, confirmation of meeting or event
times/dates/locations, information on outstanding liens, and general
agency information (e.g., mission statement, telephone list,
map/directions, employee directory, etc.).Retain until obsolete,
superseded, or administrative value is lost.
ELIBIBLE FOR DISPOSITION IN 2019 (PER LORI)
345 Tequesta Dr., Tequesta, FL 33469
561-768-0440 Fax:561-768-0697
www.tequesta.org
P-5
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Or
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Raised: 12/20/11
RECORDS DISPOSITION DOCUMENT
NO
PAGE OF 1 PAGES
1.AGENCY
Village of Tequesta
2.DEPARTMENT
3. BUREAU
N/A
4. ADDRESS (Str et, City, and Zip Code)
5. CONTACT (Name and Telephone Number)
345 Tequesta rive
Lori McWilliams, MMC
Tequesta, FL 469
561-768-0443
6. SUBMITTED BY: I hereb certify that the records to be disposed of are
7. NOTICE OF INTENTION
correctly represented belo that any audit requirements for the records
have been fully justified, and hat 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):
K::::]a. Destruction b. Microfilming and Destruction
Signature Date
a.1 Shred X a.2
Recycle
0 c. Ima ' g and Destruction
Other
Name and Title
8. LIST OF RECORD RIES
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
116
ATTENDANCE AND LEA
RECORDS
3 FY
2012 - '-C
GS1-SL
195
PAYROLL RECORDS:
SUPPORTING DOCUMENTS
3 Cal
2012
i
9. DISPOSAL AUT 0RIZATION: Disposal for the above listed records
authorized. Any deletions or modifications are indicated
Signature: Date:
10. DISPOSAL CERTIFICATE The above 'sted records have been
disposed of in the manner and on the date hown 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