HomeMy WebLinkAboutDispositions Forms_71-21_8/4/2021_Storage UnitNO.
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
Tequesta, 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).
Ua. Shred at Department Level 0 c. Send to Storage until e. Recycle
Disposition Date Met
b. Send to Storage for Shredding 0 d. Removed from Server 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 G ff) ') /�Z-- & fylk Z(
Signature Name and Title (Senior Staff only) Date
a. LIST OF RECORD SERIES
_A ri Its I "`'a�, fcrr., re ar co o "b" for duplicate.` ,
a.
b.
C.
d.
e.
f.
9.
Schedule
Item
Title
Retention
Inclusive
Volume
Disposition
No.
No.
Dates
in
Action and
Insert "a"
Cubic
Date
or "b"
Feet
Completed
after item
After
# (247b)
Authorization
GS1-SL
23
INFORMATION REQUESTS
1 FY
2003
1
recy 8/4/21
GS1-SL
17
CORRESPONDENCE AND MEMORANDUA: ADMIN
3 FY
1994
1.5
recy 8/4/21
TOTAL CUBIC FEET THIS PAGE:
i 2.5
6. DISPOSAL AUTHORIZATION: Disposal for
7. DISPOSAL CERTIFICATE: The above listed records have been
the above listed records is authorized. Any
indicated.
di posed of in the manner and on the date shown in column g.
eletions or modifications are
:(f4�� ki kil 2i
&�' m&,,)/2— G Cis
Records Liaison Officer Signature Date
Signature Name/Title Date