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HomeMy WebLinkAboutDisposition Forms_23-15_02/12/2015_Utilities RECORDS DISPOSITION DOCUMENT No. 23 - 15 Revised: 12/20/11 PAGE OF 1 PAGES 1. AGENCY 2. DEPARTMENT Utilities 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 Laserfiched 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 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 p nding or imminent. manner checked below (specify only one): r l t � � � IZ )� Signature Date X__�a. Destruction b. Microfilming and Destruction a.1 Shred L] a.2 Recycle Michelle Terriault Adm. Assist. = c. Imaging and Destruction Name and Title L:Lj 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 GS1 - SL 17 Correspondence & Memoranda: 3 FY 1999 -2011 .08 Administrative Z�1X i 5 Community Development Files Finance Files 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. 0 � 5 (Witness to the Records Disposition) Signature: w Date: Signature: t Date: (� Print Name: Lori McWilliams Print Name: to �_ ` G Print Title: Village Clerk Print Title: _� NOTE: Upon disposition retain this form for your records RECORDS DISPOSITION DOCUMENT No. 23 - 15 Revised: 12/20/11 PAGE OF 1 PAGES 1. AGENCY 2. DEPARTMENT Utilities 3. BUREAU Village of Tequesta I I 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 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 p n ng or imminent. manner checked below (specify only one): wtL'r ;!1 A Iz )� Signature Date Destruction b. Microfilming and Destruction a.1 Shred = a.2 Recycle Michelle Terriault Adm. Assist. c. Imaging and Destruction Name and Title 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 GS1 - SL 17 Correspondence & Memoranda: 3 FY 1999-2011 .08 Administrative Community Development Files Finance Files 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: �� , �j Date: Signature: Date: L ( J Print Name: Lori McWilliams Print Name: t k 2 G i Print Title: Village Clerk Print Title: - NOTE: Upon disposition retain this form for your records