Loading...
HomeMy WebLinkAboutDisposition Forms_05-18_01/31/2018_Clerk • t NO. . DS• 1 2r RECORDS DISPOSITION DOCUMENT PAGE 1 OF 1 PAGES 1. AGENCY NAME 2. AGENCY CONTACT(Name and Telephone VILLAGE OF TEQUESTA Number) Lori McWilliams, MMC DEPARTMENT: Village Clerk (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). ©a. Shred 0b. Imaging and Destruction Qc. Recycle Od. Removed from Server 0e. Other 4. SUBMITTED BY: I hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for the records have been fully justified, and that further retention is not required for any litigation pending or imminent. Lori McWilliams /fo�L/h Signature Name and Title (Senior Staff only) Date 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 GS-1 SL 23 Information Request Records: Lien Searches I Fiscal year Jan 2015-Aug 2016 2.25 Ke ck- 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. ;Ieti7s or modifications are indicated. Mitne �tohe records disposition) ignature Date Custodian/Records Liaison Officer Date V MO /1(.it e� �i Name and Title Form Updated: 1/3/17