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HomeMy WebLinkAboutDisposition Forms_14-10_07/29/2010 RECORDS DISPOSITION DOCUMENT NO. Revised 1119/07 PAGE OF 1 PAGES 1.AGENCY 2. DEPARTMENT 3. BUREAU Village of Tequesta C N/A 4. ADDRESS (Street, City, and Zip Code) 5. CONTACT (Name and Telephone Number) 345 Tequesta Drive Lori McWilliams, CIVIC 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 pen in or im inent. manner checked below (specify only one): Signature Date C] a. Destruction L b. Microfilming and Destruction c a.1 Shred LLJ a.2 Recycle c. Imaging and Destruction Name and Title d. Other 8. LIST OF RECORD SERIES a. b. C. d. e. f. g. Schedule Item Title Retention Inclusive Volume Disposition Item No. Dates in Action and Date Cubic Completed After Feet Authorization � +Y�ot1 �eCL�C1S . ?�cca�ec�cJ�c, L _ i 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. �J (Witness to the Records Disposition) Signature:i k �$f � Date: (j �© Signature: 7 Date: Print Name: Lori McWilliams Print Name: Print Title: Village Clerk Print Title: NOTE: Upon disposition retain this form for your records