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HomeMy WebLinkAboutDisposition Forms_17-17_06/05/2017_Police RECORDS DISPOSITION DOCUMENT No- �q PAGE I OF PAGES 1. AGENCY NAME 2. AGENCY CONTACT (Name and Telephone VILLAGE OF TEQUESTA Number) Lori McWilliams, MMC DEPARTMENT: Police (561) 768-0443 3. NOTICE OF INTENTION: The scheduled records listed in Item 5 are to be disposed of in the manner checked below (specify only one). Qa. Shred ®b. Imaging and Destruction 0 c. Recycle d. Removed from Server ©e. Other 4. SUBMITTED BY: I hereb certify that the records to be disposed of are correctly represented below, that any audit requirements for the rec ave bee fully justified, and that further retention is not required for any litigation pending or imminent. Christopher L. Elg 5/1/2017 Signat re Name and Title (Senior Staff only) Date te 5. LIST OF RECORD SERIES 6. a. b. C. d. e. f. g. Schedule Item Title Retention Inclusive Volume Disposition No. No. Dates in Action and Cubic Date Feet Completed After Authorization GS1-SL 302 Surveillance Records(Village Maintains for 90 Days) 30 Days 1/1/2017 - 1/31/2017 .25 5/1/2017 TOTAL CUBIC FEET THIS PAGE: 7. DISPOSAL AUTHORIZATION: Disposal for 8. DISPOSAL CERTIFICATE: The above and below listed records have the above listed records is authorized. Any been disposed of in the manner and on the date shown in column g. deletions or modifications are indicated. (Witness to the reco i osition) (¢IS l I) Signature Date Custodian/Records Liaison Officer Date Name and Title Form Updated: 1/3/17