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HomeMy WebLinkAboutDispositions Forms_84-21_9/22/2021_UtilitiesNO. YLI _ 6? r 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 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). 0 a. Shred at Department Level O c. Send to Storage until e. Recycle Disposition Date Met Qb. 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 hav een fully justified, and that further retention is no required for any litigation pending or imminent. L� 7—�v - �A li:4t, bi, I/,L � Sign ture Name and Title (Senior Staff only) ate 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 Cubic Date Insert "a" or °b° Feet Completed after item After # (247b) Authorization GS14 PU 133a Utility Records: Management and Monitoring 10AY 07/1987 0.02 07/1997 Q (I GS1 SL 70a Bid Records: Capital Improvement Successful Bids ALA R 10/1998 03/1988, 04/1988 & 09/1998 0.04 la� GS1 SL 17b Correspondence and Memoranda: 3FY 02/1994 &07/1994 0.01 Administrative 10/1997 q Qu GS1 SL 435a Financial Transaction Records: Detail 5FY 05/2007 - 08/2007 0.01 v / 10/2012 I GS1 SL 64a Contracts/Leases/Agreements: Capital 10FY 06/1998 & 07/1998 0.01 Improvement/Real Property 10/2008 cll 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. eletions or modifications are indicated. (7Zia", Records Liaison Officer Signature Date ignature 0 NamefTitle 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