HomeMy WebLinkAboutDisposition Forms_06-12_01/06/2012 RECORDS DISPOSITION DOCUMENT NO. 6 -12
Revised 11/9/07 PAGE 2 OF 1 PAGES
1.AGENCY EPARTMENT 3.13UREAU
Village of Tequesta wcA S slb� LLn N/A
4. ADDRESS (Street, City, and Zip Code) 5. CONTACT (Name and Telephone Number)
345 Tequesta Drive Lori McWilliams, MMC
Tequesta, FL 33469 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
HPIPition pending or imminent. manner checked below (specify only one):
`LC
Signature Date X:::]a. Destruction 0 b. Microfilming and Destruction
1/6/12 0 a.1 Shred LLJ a.2
Recycle
c. Imaging and Destruction
Name and Title Lori McWilliams, Village Clerk LL] 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 Autho
340 DISBURSEMENT RECORDS 5 FY Oct. 2004 — Sept 2006 .75 ��1 /
GS1 -SL DETAIL 1� (� /I �- �'
85 BANK STATEMENTS 5 FY Oct 2005 — Sept 2006 3 "
RECONCILIATION
365 RECEIPT /REVENUE RECORDS: 5 FY 2002 -2003 2.50
DETAIL Oct 2004 — Sept 2006
256 CERTIFICATE OF OCCUPANCY 10 Anniv. 1998, 1999, 2000, 3
RESIDENTIAL Years 2001, 2003
122 ADMINISTRATOR RECORDS 10 Anniv. 2001 .1 1
AGENCY DIRECTOR/PROGRAM Years
MANAGER
221 BUSINESS TAX RECEIPT 1 Cal 1993 -1994 2002 -2003 3
RECORDS /OCCUPATIONAL Year
LICENSES
35 PAYROLL RECORDS: POSTED 5 FY 1999, 1988, 1991 -1993 4
27 LITIGATION CASE FILES 5 Anniv. 2005 .25
After
closed
341 DISBURSEMENT RECORDS: 10 FY 2000 2
SUMMARY
277 INSPECTOR'S ROUTE SHEETS 3 FY Oct 2005 — Sept 2006 .5
DAILY
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.
(Witness to the Records Disposition)
Signature: Date: `e 1 �, Signature: Date:
Print Name: Lori McWilliams Print Name.
Print Title: Village Clerk Print Title:
NOTE: Upon disposition retain this form for your records