HomeMy WebLinkAboutDisposition Forms_30-15_03/12/2015_Building •' '• • �• NO. 1 , 30 . 16
Revised : 1/22/14 PAGE OF PAGES
1. AGENCY 2. DEPARTMENT �� \�� 1 � 3. BUREAU
Village of Tequesta «I 1/ NSA
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 tt^uthorit y to sign off on Item 6.
Signa re Date
Name
Title
S. 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
N6 0, > f U .�
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 Dispos' ' n)
c
Signature ` Date 31 k9ji T Signature Date 3 y/ 1
Print Name: Lori McWilliams, MMC Print Name f `t 9, S
Print Title: Village Clerk Print Title A �( e�
NOTE: Upon disposition retain Kis form for your records
Light gray shading indicates a field required to be completed by department.
Print Form
Light blue requires a signature