HomeMy WebLinkAboutDispositions Forms_19-09_11/19/2009 RECORDS DISPOSITION DOCUMENT NO~ g' D 9
Revised 11 /9/07 PAGE ~ OF 1 PAGES
1. AGENCY 2. DEPARTMENT RE 3. BUREAU
Village of Tequesta 2009 N/A
~„_
4. ADDRESS (Street, City, and Zip Code) VILLAGE CLERKS ~ 5. CONTACT (Name and Telephone Number)
345 Tequesta Drive 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 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):
Signature
Name and Title~.~ LJ ~~~~ ~~~ 4L
Date I ~a. Destrudion Q b. Microfilming and Destr~
~jlJ~~ 0 a.1 Shred 0 a.2 Recycle
c. Imaging and Destruction
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
GS2 127 Criminal Investigative Records: Misdemeanor 1~
Degree 5years
Anniversary 2003 25 ~ ~ ~r,~ ~
-. ~ ~ ~9 i.7
GS2
148
Criminal Investigative Records: Non-Criminal Violation
4years
Anniversary
2003
.75 ~~,
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.
(Witness to the Records Disposition)
e, ~
Signature: ~,~.. ~~~ Date: ~~ ~I~~ Signature!" C~ U Y ~ ~~ Dated ~~~ ~! v
Print Name: Lori McWilliams Print Name:
Print Title: Village Clerk Print Title: C
NOTE: Upon disposition retain this form for vour records