HomeMy WebLinkAboutDispositions Forms_33-23_7/6/2023_Finance�'�sp •. � o1�,a,1
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RECORDS DISPOSITION DOCUMENT
60W
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
b. Send to Storage for Shredding 0 d. Removed from Server f. Other
4. SUBMITTED BY:
I hereby certify that e r o ds to be disposed of are correctly represented below, that any audit requirements for the
records ha be fied, and that further retention is not required for any litigation pending or imminent.
Chris Quirk 08/22/18
Signature Name and Title (Senior Staff only) Date
M
e.
f.
g.
a.
b.
C.
d.
Schedule
Item
Title
Retention
Inclusive
Volume
Disposition
No.
No.
Dates
in
Action and
Cubic
Date
Feet
Completed
After
GS1-SL
57
AUDITS: SUPPORTING DOCUMENTS
5 FY
10/1/14 - 9/30/15
.5
cAuthorization
'�"ty
2'}
GS1-SL
85
BANK STATMENTS RECONCILIATION
5 FY
10/1/15 - 9/30/16
1.5
GS1-SL
365
RECEIPT/REVENUE RECORDS: DETAIL
5 FY
101/15 - 9/30/16
6
GS1-SL
358
PENSION RECORDS: PLAN/FUND
5 fy
10/1/15 - 9/30/16
.2
TOTAL
CUBIC FEET THIS PAGE:
8.2
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 andonthe date shown in column g.
deletions or modifications are indicated.
�
� I
/ 7
Records Liaison Officer Signature Date
Signature Name/Title Date
s Routing:
` "film es vitfi L3epartrrisnt Senior Manager, then
1. Originates v�iith Depa ` eiit Senior Manager, then
Village Clerk's Office authorizes disposition, and returns to
2_ Village Clerk's Office authorizes disposition and/or storage=,
Originating department to dispose and document column g,
at the storage room and will contact Public Works to remove'
then sends %%; l
records
4. Completed fo Village Clerk's Office for permanent
3. Clerk's Office will be responsible for final disposition of
ar t 1
records at this point
Form Updated: 4111/18
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