HomeMy WebLinkAboutDisposition Forms_37-13_11/22/2013 RECORDS DISPOSITION DOCUMENT NO. f
Revised: 12/20/11 PAGE I OF 1 PAGES
1.AGENCY 2. DEPARTMENT 3. BUREAU
Village of Tequesta Human Resources 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: 1 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 � . Destruction Q b. Microfilming and Destruction
I#id /0'/ &13 � a.1 Shred 0 a.2 Recycle
(� = c. Imaging and Destruction
Name and Title Merlene Reid, HR Director 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
GS1 -SL 3 Administrative Support Records Obsolete 2011 -2013 .025 �;hrj I i Z7,i3
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records 10. DISPOSAL CERTIFICATE The above listed records have been
authoriJAn etions o r modifications are indicated disposed of in the manner and on the date shown in column g.
(Witness to the Records Disposition)
UiYJ
Signatu Date: 1 Vf Signature: Date: l
Z Q
Print Name: Lori McWilliams Print Name:(
Print Title: Village Clerk Print Title: (pyl�jr'Y�ei
NOTE: Upon disposition retain this form for your records