HomeMy WebLinkAboutDisposition Forms_04-12_01/06/2012 RECORDS DISPOSITION DOCUMENT No. 4 -12
Revised 11/9/07 PAGE �_ OF vl PAGES
1.AGENCY 2. DEPARTMENT 3. BUREAU
Village of Tequesta Records Storage Unit N/A
4. ADDRESS (Street, City, and Zip Code) 5. CONTACT (Name and Telephone Number)
345 Tequesta Drive Lori McWilliams, MMC
Tequesta, FL 33469 561- 768 -0443
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 Date X:::::] Destruction LL] b. Microfilming and Destruction
\ 11 I) ,. � a.1 Shred 0 a.2 Recycle
0 c. Imaging and Destruction
Name and Title LLI 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
GS1 - SL 221 BUSINESS TAX RECEIPT 1 Cal Year 1996/1997,1997/1998 3 r 'd I
RECORDS /OCCUPATIONAL 2000/20001,
LICENSES 2003/2004
129 PAYROLL RECORDS 5 FY 05/06 1.5
DEDUCTION AUTHORIZATIONS
183 PAYROLL RECORDS 5 FY 05/06 1.5
LEDGERS /TRIAL BALANCE
REPORTS
195 PAYROLL RECORDS: 3 Cal 05/06 1.5
SUPPORTING DOCUMENTS Years
264 ELECTRONIC FUNDS TRANSFER 5 FY 05/06 1.5
RECORDS
340 DISBURSEMENT RECORDS 5 FY 1997 -2006 24
DETAIL
341 DISBURSEMENT RECORDS 10 FY 1993 -2001 1
SUMMARY
85 BANK STATEMENTS 5 FY 1993 -2001 1.5
RECONCILIATION
88 BUDGET RECORDS 3 FY 1997 -2003 3
SUPPORTING DOCUMENTS
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.
r� (Witness to the Records Disposition)
Signature: Date: 1 ✓' /�- Signature: wu� Date:
Print Name: Lori McWilliams Print Name:
Print Title: Village Clerk Print Title:
NOTE: Upon disposition retain this form for your records