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HomeMy WebLinkAboutDispositions Forms_10-25_8/11/2025_Clerk NO. RECORDS DISPOSITION DOCUMENT j PAGE I 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). G) a. Shred at Department Level © c. Send to Storage until ® e. Recycle Disposition Date Met © 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. Lori McWilliams, Village Clerk 08/11/2025 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 2 Administrative Convenience Records OSA 2006-2021 .05 shredded Duplicates of Cerfitication of Living 8/11/2025 TOTAL CUBIC FEET THIS PAGE: ,n 6. DISPOSAL AUTHORIZATION: Disposal for 7. DISPOSAL CERTIFICATE: The above listed records have been t above listed records is a ized. Any d' posed in the manner and on the date shown in column g. d letion modifi ation a indicated. ` 08/11/2025 � Lori McWiliams,Clerk 08/11/2025 Clerk's Office Signature Date Signature of Person Disposing of Records 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 12. Village Clerk's Office authorizes disposition and/or storage, 3. Originating department to dispose and document column g, i at the storage room and will contact Public Works to remov 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