HomeMy WebLinkAboutDispositions Forms_03-22_2/15/2022_ManagerNO- 3 -a
RECORDS D 4SPOSIT ION DOCUMENT
PAGE 1 OF 2 PAGES
1. AGENCY NAME and ADDRESS ( 2. AGENCY CONTACT (Name and Telephone
VILLAGE OF TEQUESTA Number)
345 Tequesta Drive s Lori McWilliams, MPA, MMC, (561) 768-0443 or �
Tequesta, FL 33469 i 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 specked
j below (specify only one).
a. Shred at Department Level 0 c. Send to Storage until � e. Recycle
Disposition Date Met
0 b. Send to Storage for Shredding 0 d. Remove from Server 0 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 been fully justified, and that further retention is not required for any litigation pending or imminent.
Jeremy Allen a " " "' "'"" Jeremy Allen
Signature Name and Title (Dept. Head}Senior Staff only) Date �
i 5. LIST OF RECORD SERIES
I
a.
b,
C. d.
e.
i Schedule
Item
Title Retention
inclusive
Volume i
Disposition
1 No,
No.
Dates
in
Action and
Cubic i
Date
Feet
(Completed After 1
Auftrizatir
I CS1-SL
122a
Administrator Records: Agency 10Anniv.
111t1972-11112003
1
ieeC-Yue
Director/Program Manager Years
S
I 122b
! Administrator Records: Agency 10. Anniv.
; VV1982- Ill 12 }06
4
Director/Program Manager Years
i
I
238b
Public Program/Event Records
5FY
1011i1975-95011993
.1
j 85b
Contracts/Leases/Agreements:
I 5 FY
10t1/1974-9130i2004
1
Non -Capital Improvement
j
377b
Records: Logs
1 Anrtiv. 1J1t2005-111-2008
1
Year
C_sic --its PAGE:
$
S. DISPOSAL AUTHORMATION: Disposal for ,,
7. DISPOSAL CERTIFICATE: T?* above fisted records have been
8 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.
Clerks Office Signature Date
Signature of Person Di,sposin Records NameJTitle Dal i
emc. AStT
Ro
1. Originates * t Department Senior Manager, them 1
1. Originates wsih Department Ser kx Manager, tien
2. Milage Cleric's Office authorizes dispMition. and return to
2. Tillage Clerk's Office authorizes disposibon and/or storage
3. Or4inat>niq departrnent to dispose and document cokumn g,
at the storage room and will contact Public Alooics to remove ,
then serer
records
4. CornpieW i+e wm to Vibge Cleric's Office for perrnar eM
3. Cleric's Office will be responsible for fugal disposition of
archival ,+
records at this point
I
Forth updated.912ft2l
OR
- - ----
-2" -
�-z
Continuation Page
a,
Schedule
No.
b,
j Item
No.
c, d
Title Retention
I
e
i lnclsive
Dates
'Vole
in
Cubic
Feet
9
Disposition
Action and
l Date
(Completed
After
Authorization
106a
Feasibility Study Records
3 FY
10/l/1979-9/3012005
.1
egtyCle-4
84b
Financial Account Authorization Records
5 FY
i
10/1/1987-W30/1990
i
1
304b
Tax Exemption App Files:Ad Valorem
(Economic Dev.)
5 FY
1011/1993-9130/1998
}
i
.1
!
40b
Inventory: Agency Property
3 FY
! 10/1/1994-9/30/1995
.1
i
3
11b
Cabinet AffairsFiles
�
1995
i
1
i
� 1
3b
Administrative Support Records
i
OSA
1997
1
64b
Contracts/Leases/Agreements: Capital
Improvement/Real Property J
i
10 FY
10/l/1976-9/30/1986
.1
40b
Inventory: Agency Property
3 fY
10111994-9/3011994
.1
a
i
I
I
i
1
i
i
i T-,'•1L CUBIC FEE—,, �4!S.G=.
g