HomeMy WebLinkAboutDisposition Forms_28-17_12/13/2017_Police i►—U
NO. a - l
RECORDS DISPOSITION DOCUMENT
PAGE 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).
0 a. Shred ®b. Imaging and Destruction O c. Recycle
d. Removed from Server O e. Other
4. SUBMITTED BY:
I hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for the
r ds have been fully justified, and that further retention is not required for any litigation pending or imminent.
James McGrew, Acting Chief of Police 12/1/2017
Si4p4ture Name and Title (Senior Staff only) Date
5. LIST OF RECORD SERIES
6.
a. b. C. d. e.
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 8/1/2017 - 8/31/2017 .25 12/1/2017
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 record
gign)�al /�� Signature Date
Custodian/Records Liaison Officer Date
Name and Title
Form Updated: 1/3/17