HomeMy WebLinkAboutDispositions Forms_41-21_4/5/2021_Human ResourcesNO. L
/I2��
RECORDS DISPOSITION DOCUMENT
PAGE OF 1 PAGES
1. AGENCY NAME
2. AGENCY CONTACT (Name and Telephone
VILLAGE OF TEQUESTA
Number)
Lori McWilliams, MMC
DEPARTMENT: Human Resources
(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).
Oa. Shred O b. Imaging and Destruction O c. Recycle
Od. Removed from Server 0e. 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.
Merlene Reid
Signature Name and Title (Senior Staff only) Date
5. LIST OF RECORD SERIES
6.
a.
Schedule
No.
b.
Item
No.
C.
Title
d.
Retention
e.
Inclusive
Dates
f.
Volume
in
Cubic
g.
Disposition
Action and
Date
Feet
Completed
After
Authorization
GS1-SL
19b
Personnel Records: Florida Retirement System
OSA
1971-2004
.2
ShA(ed
GS 1-S L
162b
Personnel Records Non -Florida Retirement System (Local Government)
O SA
1999-2010
.8
41-� 124
TOTAL CUBIC FEET THIS PAGE:
7. DISPOSAL AUTHORIZATION: Disposal for
the above listed records is authorized. Any
8. DISPOSAL CERTIFICATE: The above and below listed records have
been disposed of in the manner and on the date shown in column g.
deletions or modifications are indicated.
aa (_f,
``� 1 ��I�'
tness to the records disposition)
-TI�I�1
Signature Date
Custodian/Records Liaison Officer Date
Name and Title
Form upaatea: 1/z3/li