HomeMy WebLinkAboutDispositions Forms_24-16_10/2/2019_Finance (2) RECORDS DISPOSITION DOCUMENT NO. 01 Lf
Revised : 4/6/12 PAGE 1 OF 1 PAGES
1. AGENCY 2. DEPARTMENT 3. BUREAU
Village of Tequesta Finance N/A
4. ADDRESS (Street, City, and Zip Code) 5. CONTACT(Name and Telephone Number)
345 Tequesta Drive Lori McWilliams, MMC
Tequesta, FL 33469 561-768-0440
6. SUBMITTED BY: I hereby certify that the records to be disposed of are 7. NOTICE OF INTENTION
correctly represented below,that any audit requirements for the records
have been fu justified, and that further retention is not re uired for any The scheduled records listed in Item 8 are to be disposed of in the
litigatio p i r imminent. manner checked below(specify only one):
Signatur Date a. Destruction 0 b. Microfilming and Destruction
��� A a.1 Shred 0a.2 Recycle
JoA rsy �e, Finance Director c. Imaging and Destruction
Name and Title d. Other
8.LIST OF RECORD SERIES
a. b. C. d. e. f. g.
Schedule Item Title Retention Inclusive Volume Disposition
Item No. Dates in Action and Date
Cubic Completed After
Feet Authorization
GS1-SL 195 Payroll Records: Supporting Docs. 5 FYS FY2013 3
GS1-SL 340 Disbursement Records: Detail 5 FYS FY 2013 1.5
GS1-SL 97 Vendor Files 3 FYS < FY 2016 1.5
d �0' f a►s osi d 10� C ► 1 ►k
TOTAL CUBIC FEET:
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records 10. DISPOSAL CERTIFICATE The above listed records have been
authorized.Any deletions or modifications are indicated disposed of in the manner and on the date shown in column g.
(Witness to the Records Disposition)
Signature: Date: Signature: /� Date:�O n I/Q�
I ' y
Print Name: Lori McWilliams Print Name:
Print Title: Village Clerk Print Title:
NOTE: Upon disposition retain this form for your records
Amended: 2/8/16