HomeMy WebLinkAboutDisposition Forms_53-15_06/30/2015_Clerk • ' ` • • • NO. 53 -15
Revised : 1/22/14 PAGE OF PAGES
1. AGENCY 2. DEPARTMENT Clerk 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 Department Head has the authority to sign off on Item 6.
n � Recycle �
Signature k1 r � V-4— Date 12 -02 -2015
Name Lori McWilliams
Title Clerk
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 32 Agenda Backup Copies Perm 2015 .40 12/7/15 Recycled
GS1 -SL 236 Orders Copies 5 FY 1996- 2001, 2013 -2014 .30 1217115 Recycled
GS1 -SL 32 Minutes (Hist, P&Z Magistrate) Copies Perm 2008 -2012, 2015 .05 1217/15 Recycled
GS1 -SL 23 Public Records Request Copies 1 FY Oct 2012- Sept 2014 .40 1217/15 Recycled
GS1 -SL 23 Public Records Request Copies 1 FY Oct 2012- Sept 2014 .05 1217/15 Shredded
Total 1.2
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records 10. DISPOSAL CERTIFICATE The above listed records have been
authorized. An deletions or modifications are indicated disposed of in the manner and on the date shown in column g.
(Witness to the Recor s Disposition)
Signature f Date 12 -02 -2015 Signature Date 12 -07 -2015
Print Name: Lori McWilliams, MMC Print Name Deanna Mayo
Print Title: Village Clerk Print Title Assistant to the Clerk
NOTE: Upon disposition retain this form for your records
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