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HomeMy WebLinkAboutDispositions Forms_95-21_11/5/2021_UtilitiesNO. �i.�-a! 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). Qa. Shred at Department Level 0 c. Send to Storage until O e. Recycle Disposition Date Met 0 b. 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 een fully justified, and that further retention is not required for any litigation pending or imminent. A4s i Sign ture 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 Cubic Date Insert "a" Feet Completed or"b" After after item # (247b) I huthorizgtion, GS1 SL 136a Project Files:Capital Improvement 10 FY 10/2011 03/2001 (project completion) 0.02 1) GS14 83a Public Water System Records: Chemical 10AY 07/2012 07/2002 0.01 cmf �) Analyses GS1 SL 2b Administrative Convenience Records OSA 07/2001 0.01 11 GS1 SL 242a Drafts and Working Papers OSA 12/2019 0.04 ka ) , * GS1 SL 242a Drafts and Working Papers OSA 09/2013 0.04 KI 1 / al TOTAL CUBIC FEET THIS PAGE: 0.12 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. o tea, 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 4. Completed form to Village Clerk's Office for permanent records 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. b. C. d. e. f. g. Schedule Item Title Retention Inclusive Volume Disposition No. No. Dates in Action and Cubic Date Feet Completed After Authorization GS1 SL 167a Environmental Regulation 5FY 11/1998 0.01 Compliance Records 10/2004GS1 17a Correspondence and Memoranda: 3FY 06/1982 0.01 SL Administrative 10/1985 17a Correspondence and Memoranda: 3FY 02/1983 - 09/1983 0.01 GS1 SL Administrative 10/1986 i� l 17a Correspondence and Memoranda: 3FY 10/1983 - 12/1983 0.01 GS1 SL Administrative 10/1987 ) )a4 17a Correspondence and Memoranda: 3FY 01/1998 - 09/1998 0.01 GS1 SL Administrative 10/2002 ()I aj 17a Correspondence and Memoranda: 3FY 10/1998 - 08/1999 0.01 ICII cQ�` GS1 SL Administrative 10/2002 17a Correspondence and Memoranda: 3FY 12/1999 0.01 GS1 SL Administrative 10/2003 �1 17a Correspondence and Memoranda: 317Y 02/2001 - 07/2001 0.01 GS1 SL Administrative 10/2004 17a Correspondence and Memoranda: 317Y 10/2001 - 06/2002 0.01 GS1 SL Administrative 10/2005 17a Correspondence and Memoranda: 3FY 03/2003 0.01 GS1 SL Administrative 10/2006 64a Contracts/Leases/Agreements: 10FY 08/2000 0.01 GS1 SL Capital Improvement/Real Property 10/2010 70a Bid Records: Capital Improvement 10FY 01/2000 0.01 GS1 SL Successful Bids 10/2010 J11vlaq 286a Permits: Building 1OF * 09/2000 0.01 GS1 SL 10/2010 GS1 SL 72a Bid Records: Non -Capital 5FY 12/1983 - 01/1984 0.01 Improvement 10/1989 TOTAL CUBIC FEET THIS PAGE: 0.14