HomeMy WebLinkAboutDisposition Forms_13-17_03/23/2017_Police I
RECORDS DISPOSITION DOCUMENT NO. t3 —�
Revised: 8/3/16 PAGE t OF 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):
Signatur Date O a. Shred O b. Recycle
c. Imaging and Destruction , d. Removed from Server
O
Name and 4tle Chief Chist r Elg O e other
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 10/1/2016 - 10/31/2016 25 2/1/2017
(Village Maintains for 90 Days) (See Above)
I OTAL CUBIC FEE 1 , 25
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: fliy Date: �I/�ll Signature: -"'— Date: 7 2
: 3
Print Name: Lori McWilliams Print Name:
U
Print Title: Village Clerk Print Title:
NOTE Upon disposition retain this f4n for your records