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HomeMy WebLinkAboutDisposition Forms_38-15_05/20/2015_Parks and Recreation REC ORDS '• • DOCUMENT NO. I Revised: 1/22/14 PAGe of - PAGES 1. AGENCY 2. DEPARTMENT 3. BUREAU Village of Tequesta �� �( N/A 4. ADDRESS (Street, City, and Zip Code) S. 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): 1 ,. Only the Depa e Hea h he q to sign off on Item 6. Signature Date CJ Name Title i` C. 8' 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 C Veols & OC A 6 ti's a 0 ri c as l -m 2 V JJ( �� `:ersc:ti� » 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 RVcords Disposition) Signature Date C! �`l ) Signature Date Print Name: Lori McWilliams, MMC Print Name `i � v i It Print Title: Village Clerk Print Title 'i P o NOTE: JDon disposition retain this form for your records Light gray shading indicates a field required to be completed by department. Print For Light blue requires a signature •'� � '• • �• NO. � 8'fs Revised: 1/22/14 PAGE . OF R PAGES 1.AGENCY 2. DEPARTMENT 3. BUREAU Village of Tequesta (:S ion N/A 4. ADDRESS (Street, City, and Zip Code) S. 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 immine . manner checked below (specify only one): Only the Dep rt ent He a a he u rity to sign off on Ite 6. Signatur Date Name 111,14 Title t C 7 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 SI a D 1tC�V �C �l^2(�ti�N1 -t �eCbcd d -fist cool Cam e , -S (-M ' r t \C. •S d L r I 'S 5 a�(u �Czx Sr�� �t5 fist s r ' l lD a'1 r C } . Ra (S dLA o a 151 ' i 6f, c'� UDC 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. (e (Witness to the Re rds Disposition) Signature 6U, Date `�' '�� Signature Date �'1 �� 19 Print Name: Lori McWilliams, MMC Print Name 04 Print Title: Village Clerk Print Title if V 0 �� L NOTE: Upon disposition retain this form for your records Light gray shading indicates a field required to be completed by department. Print Form Light blue requires a signature REC ORDS . DOCUMENT NO. 3g -Is Revised: 1/22/14 PAGE OF -PAGES 1.AGENCY 2. DEPARTMENT 3. BUREAU Village of Tequesta ���5,Pj�� -�0� 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 teat further retention is not required for any The scheduled records listed in Item 8 are to be disposed of in the litigation pending or immine 1: manner checked below (specify only one): Only the Dep nt Hea a he u ority to sign off on It 6. Signature ' Date Z ,4 — Name Title 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 CSI S� i I c� Qr o� o l 0 & - S s f r � G r / �� co I CS S - �3g 'c� i c�r►� ;,emfiQ- �ccxrs� BSI -Si `:) �'�'(C s � ' s CG`�"_� ��1� f -rat=► c�� ° �-►�*" J (orb a c G l� e s'I rc e n La r�+s t�kn �;'S ��/'\f J �/ ^�/ - S) -S (-05 C� �, -t--� i� tia� 5 rs 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 Re ords Disposition) s, Signature ��� Date `�'`I, I�� Signature Date / ) / " �r Print Name: Lori McWilliams, MMC Print Name l ` Print Title: Village Clerk Print Title �� a %/ (( 1 / iKCC NOTE: Upon disposition retain this form for your records Light gray shading indicates a field required to be completed by department. Print For Light blue requires a signature REC ORDS ' • • N DOCUMENT NO. Revised: 1/22/14 PAGE OF 'PAGES 1.AGENCY 2. DEPARTMENT 3. BUREAU Village of Tequesta V t QA-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 -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, andAhat further retention is not required for any The scheduled records listed in Item 8 are to be disposed of in the litigation pending or immin n . manner checked below (specify only one): Only the Dep ,1 nt Hea h au h rity to sign off on Item 6. Signature Date Name ale t' Title (j 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 Fe r ett Authorization C O-A �U �YYIt}�a" CC YH`( � ,J\ Q�D" a cX a- emirs CA n S )3� 0 (Cl� r V- cad-g scab _ �. �= fish ®� I �S� S 938 c s �- ;ACS 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 Re ords Disposition) Signature Data �Q I (J� Signature Date Print Name: Lori McWilliams, MMC Print Name 11 t Print Title: Village Clerk Print Title 0" e 0 NOTE: Upon disposition retain this form for your records Light gray shading indicates a field required to be completed by department. Print For Light blue requires a signature RECORDS DISPOSITION DOCUMENT Revised: 1/22/14 "So - PAGES 1.AGENCY 2. DEPARTMENT 3. BUREAU Village of Tequesta -f 'aVt/'Sks tCY 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 immure f7 manner checked below (specify only one): Only the Depart ent Head s e t ority to sign off on Item 6. Signature / Date Name Title ir 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 p Feet Authorization CA )l NJ ext 5 � c�� XI 5J� J 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 Re ds Disposition) Signature (� �— Date �f 1 Signature Date" Print Name: Lori McWilliams, MMC Print Name P'Z� Print Title: Village Clerk Print Title h NOTE: Upon disposition retain this form for your records Light gray shading indicates a field required to be completed by department. Print Form Light blue requires a signature •'� '• • �• NO. O Revised: 1/22/14 PAGE OF —PAGES 1.AGENCY 2. DEPARTMENT 3. BUREAU Village of Tequesta hr-, b Re �Q,B- cs� 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 immi nt manner checked below (specify only one): Only the Dep ent Ne h thority to sign off on Ite 6. T Signatur Date Namee e / /`1���f OL Title 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 C-61 s� a g C r�� CAS S 2�c I s� -S 2�r c� � ►� P en s Eu- en -f -S _ LaOa4 . f - +van ts- nP��cccs� �v�s C A C3 aoc)c� is w 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 Roc rds Disposition) Signature �F Date I 03- Signature Date /,J( Print Name: Lori McWilliams, MMC Print Name Print Title: Village Clerk Print Title : • f NOTE: Upon disposition retain this form for your records Light gray shading indicates a field required to be completed by department. Print For Light blue requires a signature REC ORDS '• • DOCUMENT WW Revised: 1/22/14 PAGE OF PAGES 1.AGENCY 2. DEPARTMENT 73.BUR Village of Tequesta 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 immine t.' manner checked below (specify only one): Only the Dep rt nt Head s e a h ity to sign off on Ite 6. Signature Date i Name L���f/ Title 121 /* q 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 P-w-c crds 5 vs X07 o I QJ �S� S 1101 .fie S 14 r�s CSI Qu oreQ 5 xc N C�Si S �3g i G Qra r2 vas j c 1 I � M Puc S � a.Coco 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 Rec ds Disposition) Signature Date YI 1 J Signature Date : �! Print Name: Lori McWilliams, MMC Print Name Print Title: Village Clerk Print Title Y/ NOTE: Upon disposition retain this form for your records Light gray shading indicates a field required to be completed by department. Print For Light blue requires a signature REC ORDS '• • DOCUMENT NO. MO IS Revised: 1/22/14 PAGE Or PAGES 1.AGENCY 2. DEPARTMENT 3. BUREAU Village of Tequesta N/A 4. ADDRESS (Street, City, and Zip Code) 6. 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 Depart ent Hea h� he u y1brity to sign off on Ife 6. Signatur /�,L Date er Name Title f / `- / 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 �- - t�22r�ltC v QQ y c e� dD Ch's Cie l 1 4c4 rs CA—IV� SI-5 �5 Gh► �I cs 5 cs � 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. r (Witness to the Re ords Disposition) Date 1 « Signature Date Signature j.3 Print Name: Lori McWilliams, MMC Print Name Print Title: Village Clerk Print Title -� 4 1 2 NOTE: Upon disposition retain this form for your records Light gray shading indicates a field required to be completed by department. Print Form Light blue requires a signature REC ORDS '• • DOCUMENT Revised: 1/22/14 PAGE OF PAGES 1.AGENCY 2. DEPARTMENT 3. BUREAU Village of Tequesta 7 @ , O ^ Zz> , P) e-Cre- at cff 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 r immine t. manner checked below (specify only one): Only the Depa nt Hea h the ut rity to sign off on 1t9m 6. Signature Date Name LAG Title j / 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 -,V Feet Authorization Ry c �S aL„X�� �- FF S; � eOo & c> LA �r5 - a C [ — IA1�h ^ Ci pc>rt6�l�Ylhu` 5c' rr r 7 Yl lD ° ' P " Vwr7. �+ P4,ttf C4 r Sc A K rr �. LA � r C • f 6 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 cords Disposition) Signature Date Signature Date 3 � I Print Name: Lori McWilliams, MMC Print Name Print Title: Village Clerk Print Title ` f NOTE: Upon disposition retain this form for your records Light gray shading indicates a field required to be completed by department. Print For Light blue requires a signature Revised: 1/22/14 PAGE Of PAGES 1.AGENCY 2.DEPARTME 3. BUREAU Village of Tequesta C red -h�t 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 S. 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 th 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 Depa m t Head e a h ity to sign off on Ifern 6. Signature Date Name LL If Title / f� Q 8. LIST OF RECORD SERIES a. b. C. d. Schedule Item Title Retention Inclusive Volume Disposition Item No. Dates in Action and Date Cubic Completed After Feet Authorization n 6"AeC S 7 5G erg y / Val L--n-F� ►s c eA Ss ��Co a�b o c � LP "f °C:�Pr � , a � lac + c �'S c -� e7l Ws 2 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 Date Signature Date 44 Print Name: Lori McWilliams, MMC Print Nam ` Print Title: Village Clerk Print Title i t k NOTE: Upon disposition retain this form for your records Light gray shading indicates a field required to be completed by department. Print Form Light blue requires a signature •' '• I I Lei t• NO. �l Revised: 1/22/14 PAGE OF .PAGES 1.AGENCY 2. DEPARTMENT 3. BUREAU Village of Tequesta ` S �t Cx&*Cr) 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 Dep nt Head s� au or y to sign off on Ite 6. Signature '!J�` Date Name / e Title y -_ 8. LIST OF RECORD SERIES a. b. C. d. e. f• 9• Schedule Item Title Retention Inclusive Volume Disposition Item No. Dates in Action and Date Cubic Completed After Feet Authorization SC4 7 Q rcnf u 11 X CA I ry S t y=1 r daC�i�t �S CSI- C15 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 R ords Disposition) Signature Date Signature Date�j ��► A j !` Print Name: Lori McWilliams, MMC Print Name cyst 6 r �• Print Title: Village Clerk Print Title M ze C la/ NOTE: Uoon disposition retain this form for your records Light gray shading indicates a field required to be completed by department. Print Form Light blue requires a signature REC ORDS '• • DOCUMENT NO. ltJ Revised: 1/22/14 I MW A ftiiM i &9= � 1.AGENCY 2.DEPARTME4 N Village of Tequesta f Kt� >�� -(_'V �-� 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 thft further retention is not required for any The scheduled records listed in Item 8 are to be disposed of in the litigation pending or imminen manner checked below (specify only one): Only the Depa t Head s e jo t rlty to sign off on Ite 6. Signature Date Name Title ` g. 4 er h ✓ 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 scak/ I _ o , DF- C Lr N 1 tat��un X5 �`�� •`� r-E S D Sc� n 9J o . 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 Rec rds Disposition) Signature Date Signature Date Print Name: Lori McWilliams, MMC Print Name 1 ✓✓ Print Title: Village Clerk Print Title 'Ar -c ' ecle/ NOTE: Upon disposition retain this form for your records Light gray shading indicates a field required to be completed by department. P rint For Light blue requires a signature