HomeMy WebLinkAboutDispositions Forms_01-21_1/21/2021_ManagerNO. r Qj —"Q` �
RECORDS DISPOSITION DOCUMENT
.
PAGE 'A OF r 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
records have been fully justified, and that further retention is not required for any litigation pending or imminent.
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Signature Name and Title (Senior Staff onl 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
172
Real Property Records: Property Acquired
3 FY
1998 & 2002
.01
GS1-SL
364
Real Property Records;Condemnation/Demolition
5 Anniv Yr
2009
.02
GS1-SL
242
Draft and working papers
Obsolete
1990-2009
.01
GS1-SL
TOTAL CUBIC FEET THIS PAGE:
,0
S. DISPOSAL AUTHORIZATION: Disposal for
7. DISPOSAL CERTIFICATE: The above listed records have been
th above listed records is authorized. Any
disposed of in the manner and on the date shown in column g.
letions are indicated.
Modifications
i 2,
a� a�
Re rds Liaison Officer Signature Date
ignature Name/Title Date
S
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
4. Completed form to Village Clerk's Office for permanent
records
3. Clerk's Office will be responsible for final disposition of
archival
records at this point
Form Updated: 4/11/18
OR