HomeMy WebLinkAboutDisposition Forms_11-14_02/28/2014_Police RECORDS DISPOSITION DOCUMENT NO. 11 -14
Revised: 12/20/11 PAGE 1 OF 1 PAGES
1.AGENCY 2. DEPARTMENT 3. BUREAU
Village of Tequesta 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 r esented below, that any audit requirements for the records
have bqqi f lly justified, and that further retention is not requir d for any The scheduled records listed in Item 8 are to be disposed of in the
litig p nding or i minent. i manner checked below (specify only one):
0 � �,Oj
Signat a Dat x a. Destruction LLJ b. Microfilming and Destruction
a.1 Shred Ll a.2 Recycle
Chief Elg, Police Chief c. Imaging and Destruction
Name and Title d. Other -Removal from IT Servers
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 302 Surveillance Recordings 30 days 3/1/14 - 3/31/14 .25 Deleted from
- Village IT Servers
maintains
for 90
days
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: 7/1/14 Signature ,n + f 1 U4� `' Date: C�
Print Name: Lori McWilliams Print Name: L.0I1 ( t(/' Z &*j j
Print Title: Village Clerk Print Title:
NOTE: Upon disposition retain this form for your records