HomeMy WebLinkAboutDispositions Forms_09-22_6/9/2022_ClerkRECORDS DISPOSITION DOCUMENT
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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).
a. Shred at Department Level c. Send to Storage until e. Recycle
Disposition Date Met
0 b. Send to Storage for Shredding d. Remove from Server 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.
Digitally signedMcWilliams
Lori McWilliams Date: 2022.0609Y15:11630-0400' Lori McWilliams
06/09/202a
Signature Name and Title (Dept. Head/Senior Staff only) Date
5. LIST OF RECORD
SERIES
a.
b.
d
Retention
e
Inclusive
f.
Volume
g
Disposition
Schedule
No.
Item
No.
C.
Title
Dates
in
Action and
Cubic
Date
94,97,99, 01
Feet
(completed After
Authorization
GS1-SL
65
Contract: Non -capital
5 FY
.01
Recycled
2010
6/9/22
GS1-SL
98
Disciplinary Case File: Employee
5 FY
.01
Recycled
6/9/22
6. DISPOSAL AUTHORIZATION: Disposal for 7
the above listed records is authorized. Any
deletio s or modifications are indicated.
CI
TOTAL CUBIC FEET THIS PAGE:
DISPOSAL CERTIFICATE: The above listed records have been
disposed of in the manner and on the date shown in column g.
err, s Office Signature Date Signature of Person Disposing of Records Name/Title Date
Originates with Department Senior Managei
Village Clerk's Office authorizes disposition,
Originating,,
1ppartment to dispose and docui
Vi
rchival
Routin
Originates with Department Senior Manager;'
Burns to i 2. Village Clerk's Office authorizes disposition and/or storm
:)lumn g, I at the storage room and will contact Public Works to remove
records
Clerk's Office will be responsible for final disposition of
U