HomeMy WebLinkAboutDisposition Forms_20-15_02/09/2015_Clerk • ' ' • • • NO. 20 -15
Revised: 1/22/14 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 -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
litigation pending or imminent. manner checked below (specify only one):
Only the Department Head has the authority to sign off on Item 6.
Recycle
Signature Date 2 -9 -15
Name Lori McWilliams
Title Clerk
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 32 Agenda Backup Copies Perm 2014,15 .80 tr�
GS1 -SL 123 Meeting Notes 2 anniv 2011, 12, 14, 15 .30
GS1 -SL 32 Minutes �' Perm 1989 -94, 96 -99, 2014 .13
GS1 -SL 2 Duplicates RUO 1968, 78, 83, 96 -97, 99 -02 .09
GS1 -SL 242 Drafts & Working Papers RUO 1977-78,00, 09,14 .01
GS1 -SL 146 Transitory RUO 1969, 71, 73, 79, 91, 92, -
95 -01, 11,14 .08
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.
�I
(Witness to th Records Disposition)
Signature Date - / 9 (, Signatu Date 2 -9 -15 Z"
Print Name: Lori McWilliams, MMC Print Name Deanna Mayo
Print Title: Village Clerk Print Title Assistant to the Clerk
NOTE: Upon disposition retain this form for your records
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