HomeMy WebLinkAboutDispositions Forms_01-22_1/26/2022_UtilitiesNO. CV9.
RECORDS DISPOSITION DOCUMENT
PAGE 1 OF A PAGES
1. AGENCY NAME and ADDRESS
2. AGENCY CONTACT (Name and Telephone
VILLAGE OF TEQUESTA
Number)
345 Tequesta Drive
Lori McWilliams, MPA, MMC, (561) 768-0443 or
Tequesta, FL 33469
Mary Ann Grieser, CMC, (561) 768-0445
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 Q e. Recycle
Disposition Date Met
Qb. Send to Storage for Shredding 0 d. Remove from Server O f. Other
4. SUBMITTED BY (Department Head/Senior Staff Member Only):
I hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for the
records have 11y justified, and that further retention is not required for any litigation pending or imminent.
7-2Lj
Date
Signatur4 Name and Title (Dept. Head/Senior Staff only)
5. LIST OF RECORD SERIES
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
435
Financial Transaction Records: Detail
5FY
6/1999
.01
Re-atcie
1012004
12� ZL
GS1-SL
186
Directives/Policies/Procedures
2AY5/2000
5/1998
I .01
GS-14
133
Utility Records: Management and Monitoring
10AY
1 /2006
1 /1996
I 03
GS1-SL
17
Correspondence and Memoranda:
3FY102002
I
6/1999
7
.01
Administrative
GS1-SL
17
Correspondence and Memoranda:
13FY 10200
5/2001
.01
Administrative
TOTAL CUBIC FEET THIS PAGE:
L .p-7
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.
*meffritW
Cler 's Office Signature Date
Sig re of Person Disposing of Records Dat
--
Routing:
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: 9/21121
OR
Continuation Page
a.
Schedule
No.
b.
Item
No.
C.
Title
d.
Retention
e.
Inclusive
Dates
f.
Volume
in
Cubic
Feet
9.
Disposition
Action and
Date
(Completed
After
Authorization
GS1-SL
17
Correspondence and Memoranda:
Administrative
3FY
10/2001
8/1998
.02
j
GS1-SL
17
Correspondence and Memoranda:
Administrative
3FY
10/2001
2/1998
.04
GS1-SL
17
Correspondence and Memoranda:
Administrative
3FY
10/2005
12/2001
2.0
✓
TOTAL CUBIC FEET THIS PAGE:
2.0