HomeMy WebLinkAboutDispositions Forms_52-19_10/2/2019_Finance RECORDS L i i i —/1q
Revi;.:ad : i/22/14 PAGE % OF PAGES
i.AGEIN£Y 2.DEPARTMENT &BUREAU
Village of Tequesta z (L .s N/A
4.ADDRESS(Street,City,and Zip Code) 5.CONTACT(Larne and Telephone Number)
345 Tequesta Drive Lori McWilliams-' lv MC
Tequesta, FL 33469 561-768-0440
6.SUBMITTED BY:I hereby certify that the records to be disposed of are 7.NOTICE OF INTF_NMN
correctly represented below,that any audit requirements for the records
have been fully justified,and that further retention is not required for any The scheduled records listed in Item 8 are to be disposed of in the
litigation pending or imminent. manner checked below(specify only one):
Only:l•,z U7 p-rnm,&-it E'= d has the authority io sign off on Item 6.
Signature Date
Marne
Title
8.LIST OF RECORD SERIES
a. b. c. d. e. f. g.
Schedure Dean Title Retention Inclusive Volume Disposition
ft+ean No. Dates In Action and Date
Cubic Completed After
Feet Authoricetion
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 tmllj Date
Print Name: Lori Mc`Arilliams,14111C Print Name Y • ,
Print Title: Village Clerk Print Title
NOTE:Upon disposition retain this form for your records
Light gray shading Indicates a field required to to completed by depailment.
11 fight blue re Print Form
quiles a signature
t -, r t • et q
Reviled : ii22/14 PACsE OF PAGES
1.AGEICY 2.DEPARTMENT r &BUREAU
Village of Teguesta ►—,= c lL is�,,� N/A
4.ADDRESS(Street,City,and Zip Code) 5.CONTACT(Name and Telephone Number)
345 Teguesta Drive Lori McWilliams-, MMC
Teguesta, FL 33469 561-768-0440
6.SUBMITTED BY:I hereby certify that the records to be disposed of are 7.NOTICE OF INTEI•iTI N
correctly represented below,that any audit requirements for the records
have been fully justified,and that further retention Is not required for any The scheduled records listed in Item d are to be disposlo..in the
litigation pending or imminent. manner checked below(specify only one):
Only it:e Department N=. d has iha suthorny to sign cff e:i 6.
Signature Date
Name
Title
G.LIST OF RECORD SERIES
a. b. c. d. e. f. 9-
Schedule Stem Title Retention inclusive Volume Disposition
It m ND. Dates in Action and Date
Cubic Completed After
Feet Authorization
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 m l)�- DatebWlq
Print Name: Lori tdc`Villiams,fAIAC Print Name
Print Title: village Cierk Print Title
NOTE:Upon disposition retain this form for vour records
Light gray shading indicates a field required to 'Ce completed by department.
Print Form
Quires a sionature
i
iReviaed : 1 2/14 PACE OF PACES
1.AGENCY 2.DEPARTMENT &BUREAU
Village of Tequesta Y;r u 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 INTENMN
correctly represented below,that any audit requirements for the records
have been fully justified,and that further retention is not required for any The scheduied records listed in Item 6 are to be disposed of in the
litigation pending or imminent. manner checked below(specify only one):
Oniy tha DapErtmant tiaad has tha 3uthority to sign off on Item 6.
Signature Date
Name
Title
8.LIST OF RECORD SERIES
i
a. b. C. d. e. f. 9-
Schedule Item Title Retention Inclusive Volume Disposition
Itern No. Dates in Action and Date
cubic Completes!Aftr_r
Feet Auihorkation
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 r Date
Print Name: Lori Mall iillams,IdIIC Print Name
Print Title: Village Clerk Print Title
NOTE:Upon disposition retain this form For vour rewords
Ught gray shading indicates afield required to be competed by department.
Print Form
Light blue requires a signature i