HomeMy WebLinkAboutDisposition Forms_16-15_01/28/2015_Police t� •'� '• • �• NO. 16 -15
Revised : 1/22/14 PAGE OF PAGES
1. AGENCY 2. DEPARTMENT Police 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 -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 ju q ied, and that further retention is not required for any The scheduled records listed in Item 8 are to be disposed of in the
litigation pendin or imminent. manner checked below (specify only one):
Only the Dep en Head h s the authority to sign off on Item 6.
Shred
Signature 1 Date 0 ( ZE I
Name Christoph r Elg
Title Chief of Police
6. 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
GS2 102 Citation Transmittal Records 1 Fiscal Year 1/1/2011- 12/31/2011
GS2 102 Citation Transmittal Records 1 Fiscal Year 2/1/2012- 12/31/2012 20
GS2 102 Citation Transmittal Records 1 Fiscal Year 1/1/2013 - 1/31/2013 .20 sh ✓�A
(zY115
GS1-SL 340 Vendor Invoices 5 Fiscal Years 1/1/2007- 12/31/2007
24 I
GS1 -SL 340 Vendor Invoices 5 Fiscal Years 1/1/2008 - 12/31/2008 .10
GS1 -SL 340 Vendor Invoices 5 Fiscal Years 1/1/2004- 12/31/2004 10
GS1 -SL 340 Vendor Invoices 5 Fiscal Years 1/1/2006- 12/31/2006 10
F
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,)2ecords Disposition)
Signature I -- Date // Signature Date L2 �
Print Name: Lori McWilliams, MMC 11 I Print Name wt 6 f�k
Print Title: Village Clerk Print Title
NOTE. Upon disposition retain this form for your records
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