HomeMy WebLinkAboutDisposition Forms_02-14_01/14/2014_Clerk RECORDS DISPOSITION DOCUMENT No. 2 -14
Revised : 4/6/12 PAGE OF 1 PAGES
1.AGENCY 2. DEPARTMENT 3. BUREAU
Village of Tequesta Village Clerk 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 -0440
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
liti n pending or immineq. manner checked below (specify only one):
Signature Date XX a. Destruction 0 b. Microfilming and Destruction
0 a.1 Shred Q a.2 Recycle
Lori McWilliams, Village Clekr 0 c. Imaging and Destruction
Name and Title 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
17 CORRESPONDENCE AND 3 FY 1/1/2001 - 12/31/2009 5 Deleted
MEMORANDA: ADMINISTRATIVE from
GS1 -SL computer
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.
n A (Witness t th Records Disposition)
Signature: � 1 "l � Date: I ( (� Signature: & � Date: j y'
Print Name: Lori McWilliams Print Name: Lori McWilliams
Print Title: Village Clerk Print Title: Village Clerk
NOTE: Upon disposition retain this form for your records