HomeMy WebLinkAboutDisposition Forms_22-14_02/28/2014_Police RECORDS DISPOSITION DOCUMENT NO. (� a — J q
Revised 11/9/07 PAGE 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, CIVIC
Tequesta, FL 33469 561- 575 -6200 ext. 244
6. SUBMITTED BY: 1 hereby certify that the records to be disposed of are 7. NOTICE OF INTENTION
corrects represented below, that any audit requirements for the records
hay b n fully justified, and that further retention is not re uired for any The scheduled records listed in Item 8 are to be disposed of in thl
Ii ' pending o imminent. manner checked below (specify only one):
31
Sign ure Date a. Destruction 0 b. Microfilming and Dest
a.1 Shred L--J a.2 Recycle
c. Imaging and Destruction
Name and Title 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 Authorization
135 Internal Investigation Records: 3 10/31/2007 75
Anniversary pages
Sustained Informal years after
final �lk
GS2 disposition I
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: "1 Signature: t Date:
Print Name: Lori McWilliams Print Name: , k
Print Title: Village Clerk Print Title:
NOTE. Upon disposition retain this form for your records