HomeMy WebLinkAboutDispositions Forms_29-23_7/6/2023_Finance)i Sp I0111 &D
MWNO.
RECORDS DISPOSITION DOCUMENT
PAGE 1 OF 1 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 c. Send to Storage until e. Recycle
Disposition Date Met
Ub. Send to Storage for Shredding 0 d. Removed from Server f. Other
4. SUBMITTED BY:
I hereby certify that the rec s to be disposed of are correctly represented below, that any audit requirements for the
records have en f ied, and that further retention is not required for any litigation pending or imminent.
Chris Quirk 08/22/18
Signatur Name and Title (Senior Staff only) Date
5. LIST OF RECORD SERIES
IVIA
.. �:
.,,ME,.1,0..
F
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
57
AUDITS: SUPPORTING DOCUMENTS
5 FY
10/1/13 - 9/30/14
.5
2
GS1-SL
85
BANK STATMENTS RECONCILIATION
5 FY
10/1/14 - 9/30/15
1.5
365
RECEIPT/REVENUE RECORDS: DETAIL
5 FY
101/14 - 9/30/15
4.5
358
PENSION RECORDS: PLAN/FUND
5 fy
10/1/14 - 9/30/15
.3
TOTAL CUBIC FEET THIS PAGE:
6.8
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.
�61
M -7 12-3
Records Liaison Officer Signature Date
Signature Name/Title Date
Routing:
2 ,,, rigiria#es with Department Senior Manager, then 1. Originates with Departmert Senior Manager, then
I "`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 Pub rc.Works to remove
then sends ( records �/%////%%/////%/%0': . �,
Completed form to Village Clerk's Office for permanent 3. Clerk's Office wild �be responsib e `1WWWWa disposition of,
,
archival �,,, , records at this pointAM
Form Updated: 4111/18,