HomeMy WebLinkAboutDispositions Forms_07-20_2/6/2020_ClerkNO. 7-20
RECORDS DISPOSITION DOCUMENT
PAGE 1 OF 1 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).
0 a. Shred at Department Level O c. Send to Storage until 0 e. Recycle
Disposition Date Met
b. Send to Storage for Shredding O d. Removed from Server 0 f. 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.
(U,��2�
Signature Name and Title (Senior Staff only) Date
5. LIST OF RECORD SERIES
a.
Schedule
b.
Item
C.
Title
d.
Retention
e.
Inclusive
f.
Volume
g.
Disposition
No.
No.
Dates
in
Action and
Cubic
Date
Feet
Completed
After
Authorize on
GS3
116
CANDIDATE/COMMITTEE FILES
10 Yrs
99/00/2002
, 2,f
smlec
59
PETITION SIGNATURE RECORDS
1yr
99/00/2001/2002
O1
124
Pollworker Records
1 yr
2001/2002
GS1-SL
338
Corr & Memo: pol devel
5 FY
99/2000
,
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
sposed of in the manner and on the date shown in column g.
s or modifications are indicated.
n
I
Records Liaisod Officer Signature Date
Signature Name/Title Date
Routing:
1. Originates with Department Senior Manager, then
2. Village Clerk's Office authorizes disposition, and returns to
I Originating department to dispose and document column g,
then sends
4. Completed form to Village Clerk's Office for permanent
archival
OR
1. Originates with Department Senior Manager, then
2. Village Clerk's Office authorizes disposition and/or storage
at the storage room and will contact Public Works to remove
records
3. Clerk's Office will be responsible for final disposition of
records at this point
Form Updated: 4/11/18