HomeMy WebLinkAboutDispositions Forms_11-09_11/19/2009 RECORDS DISPOSITION DOCUMENT N~~ ~/- D
Revised 11/9/07 PAGE ~ OF 1 PAGES
1. AGENCY 2. DEPARTM~EC E I V ED 3. BUREAU
Village of Tequesta N/A
4. ADDRESS (Street, City, and Zip Code) VILLAGE CLERKS OFFICE
345 Tequesta Drive 5. CONTACT (Name and Telephone Number)
Lori McWilliams, CMC
Tequesta, FL 33469 561-575=6200 ext. 244
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 full ified, and that further retention is not required for any
litig do n n
r ' mi
t The scheduled records listed in Item 8 are to be disposed of in the
g
nen
. manner checked below (specify only one):
~/d' D~'
Signature Date ®a. Destruction 0 b. Microfilming and Destruction
`n C
/LL/ ~
l
~ ` ~ a.1 Shred 0 a.2 RecyGe
rs ~
IK /
D
L1 . /~~, Q` ~~~~
Q c. Imaging and Destruction
Name and Title 0 d. Other
8. LIST OF RECORD SERIES
a.
Schedule
Item b.
Item
No. c.
Title d.
Retention e.
Inclusive
Dates f.
Volume
in g.
Disposition
Action and Date
Cubic
Feet Completed After
Authorization
GS2 127 Criminal Investigative Records: Misdemeanor 1~
Degree 5 years
Anniversary 2002 .75 SI ~,, E
11 b l 9 ~ ~~
GS2 148 Criminal Investigative Records: Non Criminal
Violation 4 years
Anniversary 2002 .25
~ .
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records
authorized. Any deletions or modifications ar+e indicated 10. DISPOSAL CERTIFICATE The above listed records have been
disposed of in the manner and on the date shown in column g.
(VNitness to the Records Disposition)
,(~
Signature: ~ ~ Y ) Ike ,,~~~L Date: ~~I ~O9
wci Signature: y' V ~ ~I ~ `~ Date: ~ ~ (/~~
`~~(~
Print Name: Lori McWilliams Print Name:
Print Title: Village Clerk Print Title: ' ~ ,~ (~
NOTE: UDOn disoosdion retain this form for vour records