HomeMy WebLinkAboutDisposition Forms_10-10_06/18/2010 l vl -0-,AA3 aJ
spjooaj jn0A Jo; uLo; siyi uie;ai uog!so s!p uo n .]I
LON
:01P13ulJd MJ a6ell!n :ap!l;uud
:aweN luUd swe!ll!MoW !JO :aweN;u!ad
:a3ea :ajn;eu6ls C 1 J .03ed _ :ajn ;eu6!S
(uo!;!sods!a spjooaa ay; o; ssau ;!M) c
•6 uwnloo ui unnoys a;ep ay; uo pue Jauuew ay; ul ;o posods!p pa;eo!pu! We suol;eo! ;!pow -jo suol ;slop Auy •paz!joy;ne
uaaq aney spJooaJ pa;sll anoge ayl 31VOI3I12130 ldSOdSIO •0L spJooaJ pa;sll anoge ay; jo; lesods!a :NOI1dZRIOHlnb l dSOdSIO '6
QiZ
uo! ;ez!Joy ;ny ;aaj
JGUV pa;aldwo0 o!gn0
ale(] pue uo!;oy u! saved .ON well
uo!;!sodsl0 ownlon an!snloul uo!;ua ela!1 wa ;1 alnpayoS
6 ; a p o q e
s31a3s GHOD I JO lsll '8
ia4i0 'p
al ;!1 pue aweN
uo! ;one ;satJ pue 6ui6ewl o
v 4
a!otoaa
Z e m pajgs L e
uo!ionjisap pue 6u!wpiojo!W q77 uo!ion)isat] a ale(] /
e , � i ain ;eu6!s
:(euo Aluo A molaq paMoayo muew ;uou!ww! jo 6ulpued uo!;e6l ;!1
ay; w ;o posods!p aq o; aie g well ul pa;sp sp-maj palnpayos aql Aue jo; ��! y„µp! ;ua ;aj jegvn};ey; pue 'pa!;!;snf Alln; uaaq aney
spiooa3annba� ��� i
N01IN31NI d0 30110N 'L aie ;o N ay; JO} sluawaj!nba; I.
ue;ey; `nnolaq pa ;uasa�da� �(poa��oa
)esods!p aq o; sp�ooa) ay;) 41 4PJG AgaJay I :.la 03111Wans 9
t7t?Z 'IXa 0OZ9 69t�££ l� `a3sanbal
OWO 'SwellHMOIN P0- aniJIa elsanbal 5ti£
(jagwnN auoydelal pue aweN) 10` .LNOO 'S (apo0 dq pue I;!O `lea-1 ss gNaa`d 'b
V/N >. , ; ; eisanbal 10 a6elPA
nd3ana .£ �,:
1N3WlZ!`dd3a •Z AaN3�JV 'L
S30Vd l 30 3E)Vd 10/61 y y Pasinab
0l, i 'ON 1N3WflOOa
,� Z,0IlLIS0d9ICl SOM00.9H
��.
RECORDS DISPOSITIC�'i� DOCQJi�ERd G n�a � .�; 10
Revised 11/9/07 P�,�E OF 1 PAGES
9.AGENCY 2. DEPARTMER�T 3. BUREAU
Village of Tequesta _ , �� � ,� _�%' IV/A
' "i , �:i ,I —� —J
4.ADDRESS(Street,City,and Zip Code) S.COMTACT(Name and Telephone Vumber)
345 Tequesta Drive _ Lori IVicWilliams, 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 retentior.is re!�equired for any The scheduled records lis4ecl in Item 8 are to be disposed of in the
litigation pending or imminent. manner checked below(speciiy only one):
� ..
Signature '! � '',: �r Date �a. Destruction � b Microfitming and Destruction
%, f;,'�L `� `
�` � ' � � � a 1 Shred a 2
,1,� � �
- Recycle
• p 'f ,(� �3
� i
��'y ';1 i � � � c. Imaging and Destruction
J �.
Plame and Title � � d. Other
8.LIST OF RECORD SERIES �
a. b. c. d. e. f. g.
Schedule Item Ti41e Retention Inclusive Volume Disposition
Item Plo. Da4es in Action and Oa4e
Cubic Completed After
Feet Authorization
-� . � (' L'..�'C,�(�!���� Lr'•�l'Z7 �i^,�CC%��J;�J `�Cc::'•Ci;C1C;�
t i� `�l i �� v . '•1� �'1`��.J '` i� � � ,�
r• �• . ��f��(�t,��`� �`',`��Ci'1(�.��,'1 ��'�'^���T/ �--�CI!1$llyt"�-� �
(•�_ -�, � ,� _� ,`, n --� � `�.,', � -'�
�' ��� L �'' �_..i
/, !7 Li;"^'�G,rY` "1`.<< ri� �� ,�.,j"`•< <t_ Giltl�=�"t�i�� �
��1i ,�1�--� /�'-j, /-�� t,.. .;�.. _f''! �:(�;�:7 ��r�y � r�.�,i ., ',....,;�[, , ,
9. DISPOSAL AUTHORIZATIOM: Disposal for the above lis4ed 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. .
(Witness to the k2ecords Disposition) '
� :
Signature % ,� + ' �� ;' �. Date: , Signature: �, Daee � (,� � �—
. e -, ,. r , � .
Print Name: Lori McWilliams Print Name:
Print Title: Village Clerk Print Title:
NOTE: Upon disposition retain this form for vour records