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Home My WebLink AboutDispositions Forms_03-23_2/2/2023_UtilitiesNo. 3-a3 RECORDS DISPOSITION DOCUMENT PAGE 1 OF (, 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 Q c. Send to Storage until O e. Recycle Disposition Date Met Ob. Send to Storage for Shredding O 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. Marjorie Craig, Utilities Director //a/00Z3 Signature Name and Title (Dept. Head/Senior Staff only) Date 5. LIST OF RECORD SERIES a. Schedule b. Item G. Title d. Retention e. Inclusive f. Volume g. Disposition No. No. Dates in Action and Cubic Date Feet (Completed After Authorization 167 Environmental Regulation Compliance Records 5FY after completion 2031 2011 .03 Re (� a �3 TOTAL CUBIC FEET THIS PAGE: ,b 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. Clerk's Office Signature Date Signat a of Person Disposing of Records Name/Title Da e 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:9/21/21 OR NO. 3 -23 RECORDS DISPOSITION DOCUMENT PAGE OF 1,p 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). 0 a. Shred at Department Level 0 c. Send to Storage until e. Recycle Disposition Date Met Qb. 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. Marjorie Craig, Utilities Director Signature Name and Title (Dept. Head/Senior Staff only) Date 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 Authorizatio 65 Contracts/Leases/Agreements: 5FY 3/2015-12/2016 .5 Non -Capital Improvement 2020/2021 a 3 - L 64 Contracts/Leases/Agreements: Capital 10 FY 9/2011 .1 Improvement/Real Property 2021 TOTAL CUBIC FEET THIS PAGE: 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. gla i. &O,-7— 0,3 121, 3 3 Clerk's Office Signature Date Sig ure of Person Disposing of Records ame/Title Da e 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 OR Form Updated:9/21/21 NO. 3 - 23 RECORDS DISPOSITION DOCUMENT PAGE OF 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). Qa. Shred at Department Level O c. Send to Storage until Q e. Recycle Disposition Date Met 0 b. Send to Storage for Shredding 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. �j Marjorie Craig, Utilities Director �7,2 Sig re Name and Title (Dept. Head/Senior Staff only) Date 5. LIST OF RECORD SERIES a. Schedule b. Item C. Title d. Retention e. Inclusive f. Volume g. Disposition No. No. Dates in Action and Cubic Date Feet (Completed After Authorization SL 64 Contracts/Leases/Agreements: Capital Improvement/Real Property 1OF Y after completed! terminated 203E 2001 .02 �{ a CZ;0---J TOTAL CUBIC FEET THIS PAGE: 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. 11 a.31 a3 3 a3 Clerk's Office Signature Date Sig t re of Person Disposing of Records ame/Ti Dat v 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:9/21/21 OR NO. 3 - Z-3 RECORDS DISPOSITION DOCUMENT PAGE L� OF 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). 0 a. Shred at Department Level O c. Send to Storage until e. Recycle Disposition Date Met 0 b. Send to Storage for Shredding 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. cr Uhl. Uri J�lr�Zoz3 Signatur Na a and Title (Dept. Head/Senior Staff only) Date 6. LIST OF RECORD SERIES a. Schedule b. Item C. Title d. Retention e. Inclusive f. Volume g. Disposition No. No. Dates in Cubic Action and Date Feet (Completed After Authorization GS+-SL 375 TRUTH-IN-MILLAGE COMPLIANCE FILES 5 FY 1999-2001 1.5 aj TOTAL CUBIC FEET THIS PAGE: 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. I I ao la wl Clerk's Office Signature Date Si ture of Person Disposing of Records 'Name/Tifle D to 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:9/21/21 OR NO. 5--2-3 RECORDS DISPOSITION DOCUMENT PAGE 5 OF 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). 0 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. ' ►'I.i,c)-fL:Tv.2.ir G C 2A-( V�u n�S p�Q'`��Z / Z/zZ Signature Name and Title (Dept. Head/Senior Staff only) Date 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 375 Truth-Millage (TRIM) Compliance Files 5FY 2001 Q 1.5 ,3�43 TOTAL CUBIC FEET THIS PAGE: 1 1.5 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. Clerk's Office Signature Date Sig re of Person Disposing of Records am e/T le D e 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:9/21121 OR v�F NO. ,23 RECORDS DISPOSITION DOCUMENT PAGE OF �p 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). 0 a. Shred at Department Level Q c. Send to Storage until O e. Recycle Disposition Date Met 0 b. Send to Storage for Shredding O 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. G Marjorie Craig, Utilities Director Signature ¢� Name and Title (Dept. Head/Senior Staff only) Date 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 bet-SL 64 Contracts/Leases/Agreements: Capital comp after completed/ mpleted/ 1 Improvement/Real Property terminated2026 .02 a a3 Sf+-SL 64 Contracts/Leases/Agreements: Capital 10FY after 2007 .01 Improvement/Real Property complgqd TOTAL CUBIC FEET THIS PAGE: ,b 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 r modifications are indicated. �f&ueftiile' Clerk's Office Signature Date Sign re of Person Disposing of Records D to 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:9/21/21 OR