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RECORDS DISPOSITION DOCUMENT 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).
0 a. Shred at Department Level 0 c. Send to Storage until O e. Recycle
Disposition Date Met
0 b. Send to Storage for Shredding d. Remove from Server 0 f. Other
4. SUBMITTED BY (Department Head/Senior Staff Member Only):
I hereby certify that the rds to be disposed of are correctly represented below, that any audit requirements for the
records have been ' led, and er retention is not required for any litigation pending or imminent.
Gustavo Medina, Chief of Police 03/09/2026
Signature Name and Title (Dept. Head/Senior Staff only) Date
S. 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 302 ALPR Records(Village Maintains for 60 30 Days 11/09/2025-1/08/2026 .25
Days)
TOTAL CUBIC FEET THIS PAGE:
6. DISPOSAL AUTHORIZATION: Disposal for 7. DISPOSAL CERTIFICATE:The above listed records have been
the above listed records is authorized. Any dispo of i e manner and on the date shown in column g.
letions or modifications are indicated.
031eq d k-
Clerk's Office Signature Date Signature of Person Disposing of Records Name/Tin Date
-- Routing:
C i. Originates with Department Senicr ,Manager,then l' 1. Originates with Department Senior Manager, then
I Village Clerk's Office authorizes disposition, and retums to 112. Village Clerks Office authorizes disposition and:or storage
3. Originating department to dispose and document column g, at the storage room and will contact PublicVVors to remove
then sends records
4. Completed form to Village Clerks Office for permanent 3. Clerk's Office will be responsible for final disposition of
archival records at this point
Form Updated:9/21121
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