HomeMy WebLinkAboutDispositions Forms_91-21_9/22/2021_UtilitiesNO. 9i _,g IPAGE
RECORDS DISPOSITION DOCUMENT
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).
a. Shred at Department Level O c. Send to Storage until e. Recycle
Disposition Date Met
0 b. Send to Storage for Shredding 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
record ave en lly justified, and that further retention is not requiredforany litigation pending or imminent.
U+
Signature Name and Title (Senior Staff only) D to
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)
Authorizatiop
GS1 SL
97a
Vendor Files
3FY
12/1999-05/2000
0.01
10/2003
GS1 SL
17a
Correspondence and Memoranda:
3FY
01/1999
0.01
Administrative
10/2003
p�-(
1
GS1 SL
223a
Equipment Reference Files
Until
09/1999
0.01
Obsolete
GS1 SL
71a
Bid Records: Capital Improvements
5FY
07/1990
0.40
q
Unsuccessful Bids
10/1995
GS1 SL
286a
Permits: Building
10AY
01/1997
0.01
01/2007
TOTAL CUBIC FEET THIS PAGE:
0.44
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.
z qI
Tgnature Name/Title ate
Records Liaison Officer Signature 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
g.
Disposition
Action and
Date
Completed
After
Authorization
GS1 SL
286a
Permits: Building
10AY
12/2008
12/1998
0.01
qua
TOTAL CUBIC
FEET THIS PAGE:
0.01