HomeMy WebLinkAboutDisposition Forms_16-18_02/21/2018_Public Works NO. (o—
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: Public Works (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 0 b. Imaging and Destruction c. Recycle
0 d. Removed from Server 0e. Other
4. SUBMITTED BY:
I hereby certify that the rec rds to be disposed of are correctly represented below, that any audit requirements for the
records have been full j tified, and that further retention is not required for any litigation pending or imminent.
Doug Chambers 02/05/18
Sign ture 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 116 Attendance and Leave Records 3 2010-2014 .190 ` .c(e-
TOTAL CUBIC FEET THIS PAGE: / 7
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.
del eti ns r�or modifications are indicated. L:t
to t reco s dis sition)
Iw ►�� g5►5 Si f to-
9
Custodian/Records Liaison Officer Date Cam '✓��'`"� C7V
Name and Title
Form Updated: 1/3/17