HomeMy WebLinkAboutDispositions Forms_58-21_9/22/2021_UtilitiesNO. 58-21
RECORDS DISPOSITION DOCUMENT
PAGE 1 OF 2 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).
Oa. Shred at Department Level 0 c. Send to Storage until e. Recycle
Disposition Date Met
Qb. Send to Storage for Shredding 0 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.
Signature Name and Title (Senior Staff only) Da e
5. LIST OF RECORD SERIES
After the Item #, place an "a" for record copy or "b" for duplicate.
a.
b.
C.
d.
e.
f.
g.
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
GS 1-SL
427a
Registration/Permit/License/ Certification Records: Required
by City or County Code/Ordinance (No Permitting Fee)
1 AY
02/2015
02/2014
0.01
Clj
GS 1-SL
64a
Contracts/Leases/Agreements: Capital Improvement
10 FY
10/2008 &
01/1998, 03/1998 & 04/1998
05/1999
0.04
`1/aalal
,o/zoos
GS1-SL
435a
Financial Transaction Records: Detail
10/20 2
08/2007
0.01
GS1-SL
174a
Comprehensive Master Plans: Adopted
5 beA
08/2006
0.01
(Supporting Documents)
10/2011
GS1-SL
27a
Litigation Case Files
9
07/2( 16
07/2011
05/2013, 07/2013 & 08/2013
0.02
os, 07 a oarzola
TOTAL CUBIC FEET THIS PAGE:
0.09
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.
deletions or modifications are indicated.
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, 1/26/21
OR
Continuation Page
a.
Schedule
No.
b.
Item
No.
C.
Title
d.
Retention
e.
Inclusive
Dates
f.
Volume
in
Cubic
Feet
9.
Disposition
Action and
Date
Completed
After
Authorization
GS1-SL
94a
Complaints:
Citizens/Consumers/Employees
1 AY
09/2001
09/2000
0.01
kk
GS14-SL
83a
Public Water System Records:
Chemical Analyses
10 AY
07/2010
07/2000
0.01
-7/aa.��
TOTAL CUBIC FEET THIS PAGE:
0.02