HomeMy WebLinkAboutDispositions Forms_30-23_7/6/2023_FinanceRECORDS DISPOSITION DOCUMENT
Revised : 4/6/12
PAGE 1 OF 1 PAGES
1.AGENCY
2.DEPARTMENT
3.BUREAU
Village of Tequesta
Finance
N/A
4. ADDRESS (Street, City, and Zip Code)
5. CONTACT (Name and Telephone Number)
345 Tequesta Drive
Lori McWilliams, MMC
Tequesta, FL 33469
561-768-0440
6. SUBMITTED BY: I hereby certify that the records to be disposed of are
7. NOTICE OF INTENTION
correctly represented below, that any audit requirements for the records
have been I justified, and that further retention is n required for any
The scheduled records listed in Item 8 are to be disposed of in the
li 'ga ' g or immitftnt.
manner checked below (specify only one):
Da. Destruction 0 b. Microfilming and Destruction
Signatere Date
/i
Ox a.1 Shred Qa.2 Recycle
c. Imaging and Destruction
Jo Forsythe, Finance Director
0 d. Other
Name and Title
8. LIST OF RECORD SERIES
a.
Schedule
Item
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
340
Disbursement Records: Detail
5 FYS
FY 2015
1.5
��d. �r d� o� �fio►� :
b o o
TOTAL CUBIC FEET:
WS
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records 10. DISPOSAL CERTIFICATE The above listed records have been
authorized. Any deletions or modifications are indicated disposed of in the manner and on the date shown in column g.
(Witness to the Records Disposition)
Signature. 'ate: Signature: �Lb Date: b ('�
Print Name: Lori McWilliams
Print Name:
Print Title: Village Clerk I Print Title:
NOTE Upon disposition retain this form for your records
Amended: 2/8/16