HomeMy WebLinkAboutDispositions Forms_17-09_11/19/2009 RECORDS DISPOSITION DOCUMENT No. ~ ~ - U g
Revised 11/9/07 PAGE / OF 1 PAGES
1. AGENCY
Village of Tequesta 2. DEPARTMENT
RECEIVED 3. BUREAU
N/A
4. ADDRESS (Street, City, and Zip Code) ' --
345 Tequesta Drive VILLAGE CLERKS OFFIC
Tequesta, FL 33469
6. SUBMITTED BY: 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.
Signature
~'
Name and Title~/U/GLI¢in /~ ~(~
0 d. Other
8. LIST OF RECORD SERIES
a.
Schedule
Item b.
Item
No. c.
Title d.
Retention e.
Inclusive
Dates f.
Volume
in
Cubic
Feet g.
Disposition
Action and Date
Completed After
Authorization
G$2 129 Criminal Investigative Records: Degree of Crime
Unknown/No Charges Filed 4 years
Anniversary 2003 ~ . ~ 2 ~~'~ F~
~ i ~ i41c~
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records
authorized. Any deletions or modifications are 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)
Y~~ ,^~ Q
Signature: ~,~ m ~ ~~ Date: ~I OBI ~ ! Signature: ~ ~ ~ ~ ~ ''' ~ , r , „` Date: f ~r~ ~Q
l L.~.~
Print Name: Lori MctNlliams Print Name:
Print Title: Village Clerk Print Title: ,,,~~
NOTE UDOn disposition retain this form for your records
5. CONTACT (Name and Telephone Number)
Lori McWilliams, CMC
561-575-6200 ext. 244
7. NOTICE OF INTENTION
The scheduled records listed in Item 8 are to be disposed of in the
manner checked below (specify only one):
Date / I ~. Destruction 0 b. Microfilming and Destr~
/,.p/p ~ 0 a.1 Shred Q a.2 RecyGe
a Imaging and Destruction