HomeMy WebLinkAboutDisposition Forms_40-15_06/11/2015_Clerk �merfiched
• ' ' • • • NO. 40 -15
Revised: 1/22/14 PAGE OF PAGES
1.AGENCY 2. DEPARTMENT 3. BUREAU
Village of Tequesta CLr-- k 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 06 -10 -2015
Name Deanna Mayo
Title Assistant tot he Clerk
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
GS1 -SL 4 MINUTES: OFFICIAL MEETINGS (PRELIMINARY/ 2 anniv yrs 2002 -2005 .60 •1
AUDIO RECORDINGS/VIDEO RECORDINGS)
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 l Signature / Date
Print Name: Lori McWilliams, MMC Print Name
Print Title: Village Clerk Print Title _; / J
NOTE: Upon disposition retain this form for your records
Print Form