HomeMy WebLinkAboutDispositions Forms_35-23_7/6/2023_Finance_ I NO. 35_a3
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
Te uesta, 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)-
0 a. Shred at Department Level O c. Send to Storage until O e. Recycle
Disposition Date Met
b. Send to Storage for Shredding O d. Removed from Server Of. Other
4. SUBMITTED BY:
I hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for the
rec,ords h ve been fully justified, and that further retention is not required for any litigation pending or imminent.
Hugh Dunkley .+�.
Signature - Name and Title (Senior Staff only) 5ate
d
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
�rlY
GS1-SL
F28
Permit Surcharge Reports
10 FYS
MAR '05 - OCT '10
.1
TOTAL CUBIC FEE T TFIiS IMAGE:
1
6. DISPOSAL AUTHORIZATION: Disposal for
7. DISPOSAL CERTIFICATE: The above listed records have been
the above listed records is authorized. Any
dispose of the manner and on the date shown in column g.
deletions or modifications are indicated.
Records Liaison Officer Signature Date
Signature Name/Title Date
Routing:
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
OR
Lori McWilliams
From: Hugh Dunkley
Sent: Thursday, April 1, 2021 4:49 PM
To: Judy Jones
Cc: Lori McWilliams; Tatiana Racanati
Subject: RE: Disposition Form for Shredding
Attachments: records disp_finance_04012021_20210401_170323.PDF
Judy - Approved as per the attached. Thank you.
Hugh B. Dunhley, CPA, CGFO
Finance Director
Village of Tequesta
345 Tequesta Drive • Tequesta, FL 33469
Tel: 561-768-0424 , Fax: 561-768-0688
hdunktley@tequesta.org
From: Judy Jones <jjones@tequesta.org>
Sent: Thursday, April 1, 20214:12 PM
To: Hugh Dunkley <hdunkley@tequesta.org>
Cc: Lori McWilliams <Imcwilliams@tequesta.org>; Tatiana Racanati <tracanati@tequesta.org>
Subject: Disposition Form for Shredding
Hi Hugh,
Attached is a disposition form for shredding for some old documents. Please either sign and email back copying Lori, or
just indicate your approval by emailing back with the form saying you approve.
They will be coming on Monday to pick up the records that need to go into storage.
Thanks!
Judy Jones
iionesPteauesta.ori-T
Accountant
Village of Tequesta
345 Tequesta Drive
Tequesta, FL 33469-0273
Phone: 561-768-0428