HomeMy WebLinkAboutDisposition Forms_07-15_01/21/2015_Police RECORDS DISPOSITION DOCUMENT NO.
Revised 1/14/15 PAGE 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, MMC
Tequesta, FL 33469 561- 768 -0443
6. SUBMITTED BY: I hereby certify that the records to be disposed of 7. NOTICE OF INTENTION
are correctly represented below, that any audit requirements for the
records have been fully justified, and that further retention is not The scheduled records listed in Item 8 are to be disposed of in the
required for any litigation pending or imminent. manner checked below (specify only one):
Signatur Date X�a. Destruction b Microfilming and Destruction
a 1 Shred 0 a.2 Recycle
0 c. Imaging and Destruction
Name and Title: Chief Christ bar Elg 0 d Other - Removal from !T 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 Records 30 days — 6/1/2014 - 6/31/2014 .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.
Ia oIIS- (Witness to the Records Dis sition)
Signature: 1,1.1 1 l Date: 14M720t4' Signature: Date:
Print Name: Lori McWilliams Print Name:
Print Title: Village Clerk Print Title:
NOTE Upon disposition retain this form for your records