HomeMy WebLinkAboutDispositions Forms_96-21_11/5/2021_UtilitiesNO. L— I
RECORDS DISPOSITION DOCUMENT
PAGE OF �L 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 0 c. Send to Storage until O e. Recycle
Disposition Date Met
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
records have be n fully justified, and that further retention is not required for any litigation pending or imminent.
biv-
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
Cubic
Date
Insert °a"
Feet
Completed
or"b"
After
after item
# (247b)
VAuthorizatign
GS1-SL
#71a
Bid Records: Capital Improvement
5FY 10/90
5/85
01
��` 1
Unsuccessful Bids
GS1-SL
#136a
Project Files: Capital Improvement
10FY 10/95
7/85
.01
GS1-SL
#94
Complaints: Citizens/Consumers/Employees
1AY 12/99
12/98
.01
f
GS1-SL
#97
Vendor Files
3FY 10/02
10/98
01
GS1-SL
$k428
Registration/Permit/License/Certification
5FY 10/03
12/97
.01
Records: Required by City of County Code
TOTAL CUBIC FEET THIS PAGE:
.05
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.
deletions or modifications are indicated.
fnA.1.).JJ.- 01d13J
Signature
Name/Title Date
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
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.
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
#164
Real Property Records: Property
Not Acquired
3 FY
10/03
12/99
.03
GS1-SL
#17
Correspondence and Memoranda:
Administrative
3FY
10/19
04/16
.01
1a,j
GS1-SL
#65
Contracts/Leases/Agreements:
Non -Capital Improvement
5FY
10/20
11/14
.01
GS1-SL
#40
Inventory: Agency Property
3FY
10/18
06/15
.01
GS1-SL
#143
Resolutions: Supporting Documents
3CY
1 /04
10/00
.01
GS-14
#93
Rate Studies/Schedules
6AY
1 /02
1/96
.03
d
TOTAL CUBIC FEET THIS PAGE:
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