HomeMy WebLinkAboutDisposition Forms_56-15_12/04/2015_Police Revised : 1/22/14 PAGE OF PAGES
1. AGENCY 2. DEPARTMENT Police 3. BUREAU
Village of Tequesta I 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, 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 ead has a authority to sign off on T M
Shred
Signature ` Date
Name Christoph r L. Elg
Title Chief of Police
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
GS2 103 Citations 60 Days 01/2006 - 12/2006 .05
GS2 103 Citations 60 Days 01//2005 - 12/2005 .05
GS2 103 Citations 60 Days 01/2007 - 12/2007 .05
GS1 -SL 374 Subpoena 1 Year 01/2011 - 12/2011 .10
}aJ.U; t;
GS1 -SL 374 Subpoena 1 Year 01/2012 - 12/2012 .10
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 thg Records Disposition)
Signature �,�, �`— Date I; -I Irl I Signature Date
Print Name: Lori McWilliams, MMC Print Name' �' S
Print Title: Village Clerk Print Title C L A
NOTE Upon disposition retain this form for your records
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