HomeMy WebLinkAboutDisposition Forms_15-16_09/07/2016_Police RECORDS DISPOSITION DOCUMENT NO. IS b Revised : 8/3/16 PAGE I OF I PAGE(S) 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 litigation The scheduled records listed in Item 8 are to be disposed of in the pending or imminent. To be signed by department head only. manner checked below (specify only one): Signature Date 09/01/2016 O a. Shred Q b. Recycle ® c. Imaging and Destruction © d. Removed from Server Name and Chief Christop r g Q e. Other Deleted from IT Server 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 302 Surveillance Records 30 Days 5/1/2016 - 5131/2016 .25 9/1/2016 vi0a 1 fluitllr See Above �C S TOTAL CUBIC FEET: .Z'$ 9. DISPOSAL AUTHORIZATION: Disposal for the above listed records 10. DISPOSAL CERTIFICATE The above listed records have been authorized. Any deletions or modification re Indicated disposed of in the manner and on the date shown in column g. r()/,I , _ t (Witness to the Records Dis .. n) Signature: Date: (� Signature: Date:9�G� Print Name: Lori McWilliams TT Print Name: Q,m Print Title: Village Clerk Print Title: TT m NOTE: Upon disposition retain this form for your records