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HomeMy WebLinkAboutDispositions Forms_12-25_8/11/2025_Clerk NO. 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). Qa. Shred at Department Level Q c. Send to Storage until e. Recycle Disposition Date Met © b. Send to Storage for Shredding ® d. Remove from Server ® 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. I 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 3 ADMINISTRATIVE SUPPORT RECORDS OSA 1992-2009 Recycled 8/11/25 122 ADMINISTRATOR RECORDS: AGENCY 10 ann yrs 2001-2009 Recycled DIRECTOR/PROGRAM MANAGER 8/11/25 346 FINANCIAL DISCLOSURE STATEMENTS Dupl - 1992--2009 Shredded (LOCAL GOVERNMENT)-duplicates OSA 8/11/25 TOTAL CUBIC FEET THIS PAGE: .5 6. DISPOSAL AUTHORIZATION: Disposal for 7. DISPOSAL CERTIFICATE: The above listed records have been the above listed records is authorized. Any di osed of in the manner and on the date shown in column g. tions modifications are indicated. � c 08/11/2025 Lori McWilliams 08/11/2025 Clerk's Office Signature Date Signature of Person Disposing of Records Name/Title Date Routing: 2. 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, 1 at the storage room and will contact Public Works to remove then sends I 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