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Disposition Forms_31-15_04/28/2015_Police
f � Revised : 1/22/1 PAGE OF 2 PAGES 1. AGENCY 2. DEPARTMENT Police 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 De ment l ead has the authority to sign off on I m 6. Signatur Date Shred Name Christopher Elg Title Chief 8. LIST OF RECORD SERIES a. b. C. d. e. f. 9• Schedule Item Title Retention !nclusive Volume Disposition Item No. Dates in Action and Date Cubic Completed After Feet Authorization ee GS1 -SL 374 Supoenas 1 Year 01/2012 - 12/2012 .15 r GS2 213 Accident Report Short Forms: Motor Vehicle ! 4 Years � 01101 %2005 - 12/31!2007 10 ' 12/1 /2009 - 12/31 /2009 GS2 103 Citations 60 Days after !� 01/2013 - 05/2013 .10 - © i GS2 102 Citation Transmittal Records 1 Fiscal Year 01/2013 - 05 -2013 .10 GS2 186. Research and Study Records Until Obsolete 01/2004 - 12/2009 .70 GS2 127 Criminal Investigative Records: Misd. 1st Degree 5 Years 01/2005 - 08/2005 .02 GS2 128 e Criminal Investigative Records: Misd. 2nd Degree 4 Years 7/1/2009 - 12/31/2009 .01 GS2 197 Accident Report Long Forms: Motor Vehicle 180 Days I 12/1/2009 - 12/31/2009 I .01 S hr GS2 ' 129 Criminal investigative Records: Degree Unknown / No 4 Years r 12/1/2009 - 12/3112009 .10 Charges Filed 'S h GS2 162 • Criminal Investigative Records: Missing Person/ Until Obsolete 01/2008 - 12/2009 .10 S 1 Y Runaway Cases (Found /Solved) ZI 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 the ecords Disposition) Signature�i Date J �'f Signature Date �2 t1 S Print Name: Lori McWilliams, MMC Print Name T Print Title: Village Clerk Print Title S 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