HomeMy WebLinkAboutDispositions Forms_78-21_10/4/2021_Public WorksNO. 7 a,'1
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).
Oa. Shred at Department Level O c. Send to Storage until e. Recycle
Disposition Date Met
b. Send to Storage for Shredding Q d. Removed from Server Q 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 ftiNy justified, and that further retention is not required for any litigation pending or imminent.
lidIle
Signature( 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
72a
Bid Records: Non -Capital Improvement
10/21
(0% 2016
�
0.01
�
yl�
GS1 SL
65a
Contracts/Leases/Agreements: Non Capital
Improvements
5FY
10/21
0 �2016
0.01
TOTAL
CUBIC FEET THIS PAGE:
0.02
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.
d letions or modifications are indicated.
Signature Name/Title Date
Records Liaisoh 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
q
NO.
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 0 e. Recycle
Disposition Date Met
Ob. Send to Storage for Shredding O d. Removed from Server 0 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 f j tified, and that further retention is not required for any litigation pending or imminent.
Signatu4 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)
I Authorization
GS1 SL
Bid Records: Non -Capital Improvement
10FY
Q'�12016
0.01
V72a
GS1 SL
/65a
Contracts/Leases/Agreements: Non Capital
5FY
042016
0.01
Improvements
10/21
TOTAL CUBIC FEET THIS PAGE:
0.02
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.
d letions or modifications are indicated.
91 NIL
Records Liaisolh 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