HomeMy WebLinkAboutDispositions Forms_90-21_9/22/2021_UtilitiesNo. 0 -02tPAGE
RECORDS DISPOSITION DOCUMENT
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).
oa. Shred at Department Level O c. Send to Storage until e. Recycle
Disposition Date Met
Ob. 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 h een fully justified, and that further retention is not required for any litigation pending or imminent.
1G, -
t�{MZA 11-F,o
Sig ature Name and Title (Senior Staff only) Date
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
GS1 SL
17a
Correspondence and Memoranda:
3FY
01/2000 - 02/2000 &
02. 0
kx
Administrative
10/2003
04/2000 - 09/2000
CA aj
GS1 SL
17a
Correspondence and Memoranda:
3FY
10/2000 - 11/2000 &
0.01
Administrative
10/2004
09/2001
Ci aj
GS1 SL
17a
Correspondence and Memoranda:
Administrative
3FY
10/2000
04/1997
0.01
4'
GS1 SL
17a
Correspondence and Memoranda:
3FY
02/1999 & 06/1999 -
0.01
CRA
Administrative
10/2002
09/1999
94
GS1 SL
17a
Correspondence and Memoranda:
3FY
10/2001
0.01
Administrative
10/2005
c�
TOTAL CUBIC FEET THIS PAGE:
0.06
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.
(L;- Mttd f-L- q IIDI
Records Liaison Officer Signature Date
Signature Name/Title Dath
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