HomeMy WebLinkAboutDisposition Forms_08-18_01/31/2018_Clerk RECORDS DISPOSITION DOCUMENT
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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 b. Imaging and Destruction c. Recycle
d. 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
Signature Name and Title (Senior Staff only) Date
5. LIST OF RECORD SERIES 10/111
6.
a. b. C. d. e, f. 9-
Schedule Item Title Retention Inclusive Volume Disposition
No. No. Dates in Action and
Cubic Date
Feet Completed
After
Authorization
GS 1-SL 17 CORRESPONDENCE AND MEMORANDA:ADMINISTRATIVE 3 FY 2008-2012 .25 7/12/17-recycled
Above items
removed from S:
Drive as well
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 be n disposed of in the manner and on the date shown in column g.
d etions or modifications are indicated. ( ness to the records disposition)
ru (Y) -- � I hg—
Signature Date
Custodian/Records Liaison Officer Date I 1 411
Name and Title
Form Updated: 1/3/17