HomeMy WebLinkAboutDisposition Forms_31-13_09/20/2013 RECORDS DISPOSITION DOCUMENT NO. 3) —J 3
Revised 11/9/07 PAGE I OF 1 PAGES
1.AGENCY 2. DEPARTMENT 3. BUREAU
Village of Tequesta Police 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- 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 thi
litigation pending or imminent. manner checked below (specify only one):
Signa / Dale 9--la. Destruction 0 b. Microfilming and Dest
�3
0 a.1 Shred 0 a.2 Recycle
0 c. Imaging and Destruction
Name and Title: Chief Christopher Elg 0 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
100 911 Telephone logs (paper) 180 days 3/18/2011 12/31/2011 .12
after last �e-
GS2 entry
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: p211� 3 Signature: Date: 94 7,13
Y-\ n
Print Name: Lori McWilliams Print Name:
Print Title: Village Clerk Print Title:
NOTE: Upon disposition retain this form for your records