HomeMy WebLinkAboutDispositions Forms_02-23_2/2/2023_Utilities---
NO. a - L 3
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).
a. Shred at Department Level O c. Send to Storage until 0 e. Recycle
Disposition Date Met
0 b. Send to Storage for Shredding O d. Removed from Server o f. 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 been fully justified, and that further retention is not required for any litigation pending or imminent.
JV /d 1Zo 22
hF C. C;dLAf ILi rAtE S ID
Signatur 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
Insert "a"
Cubic
Date
or °b"
Feet
Completed
after item
After
# (247b)
Authorizati
GS1-SL
435a
Financial Transaction Records: Detail
5FY
01/2017
0.01
10/2022
d a a 3
GS1-SL
435a
Financial Transaction Records: Detail
5FY
02/2017
0.01
10/2022
GS1-SL
435a
Financial Transaction Records: Detail
5FY
03 /2017
0.04
10/2022
GS1-SL
435a
Financial Transaction Records: Detail
5FY
04/2017
0.06
10/2022
GS1-SL
435a
Financial Transaction Records: Detail
5FY
05/2017
0.10
10/2022
TOTAL
CUBIC FEET THIS PAGE:
0.22
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.
la3ia,3
aa3
Records Liaison Officer Signature Date
Sign re N e/Title 0 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
records
4. Completed form to Village Clerk's Office for permanent
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
r
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
435a
Financial Transaction Records:
Detail
5FY
10/2022
06/2017
0.04
GS1-SL
435a
Financial Transaction Records:
Detail
5FY
10/2022
07/2017
0.08
GS1-SL
435a
Financial Transaction Records:
Detail
5FY
10/2022
08/2017
0.06
GS1-SL
435a
Financial Transaction Records:
Detail
5FY
10/2022
09/2017
0.02
TOTAL CUBIC FEET THIS PAGE:
0.20