HomeMy WebLinkAboutDispositions Forms_11-25_8/11/2025_Clerk NO. /I _��
RECORDS DISPOSITION DOCUMENT PAGE 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).
0 a. Shred at Department Level Q c. Send to Storage until � e. Recycle
Disposition Date Met
Qb. Send to Storage for Shredding 0 d. Remove from Server ® f. Other
4. SUBMITTED BY (Department Head/Senior Staff Member Only):
I hereby certif that the records to be disposed of are correctly represented below, that any audit requirements for the
records h v b n 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 334 COMMITTEE/BOARD APPOINTMENT 3 FY after 2003-2019 Recycled
RECORDS term 8/11/25
122 ADMINISTRATOR RECORDS: AGENCY 10 anniv 2013, 2014 Recycled
DIRECTOR/PROGRAM MANAGER yrs 8/12/25
2 ADMINISTRATIVE CONVENIENCE OSA 2005-2021 shredded
RECORDS 8/11/25
47 MAIL: REGISTERED AND CERTIFIED 1 FY 2004-2018 shredded
8/11/25
346 FINANCIAL DISCLOSURE STATEMENTS dupl OSA 2004-2015 shredded
(LOCAL GOVERNMENT)- Duplicates 8/11/25
TOTAL CUBIC FEET THIS PAGE: 1
6. DISPOSAL AUTHORIZATION: Disposal for 7. DISPOSAL CERTIFICATE: The above listed records have been
th ove listed records is authorized. Any isposed of in the manner and on the date shown in column g.
d I on modifications are indicated.
v--e� L/fi Af
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 2. Village Clerk's Office authorizes disposition and/or storag
3. Originating department to dispose and document column g, at the storage room and will contact Public Works to remov
then sends j records
4. Completed form to Village Clerk's Office for permanent i 3. Clerk's Office will be responsible for final disposition of
archival records at this point
Form Updated:9/21/21
OR I