HomeMy WebLinkAboutDisposition Forms_19-18_03/16/2018_Police ' RECORDS DISPOSITION DOCUMENT NO. I ..
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1. AGENCY NAME 2. AGENCY CONTACT(Name and Telephone
VILLAGE OF TEQUESTA Number)
Lori McWilliams, MMC
DEPARTMENT: Utilities - Pumping and Storage (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 O b. Imaging and Destruction O c. Recycle
Qd. 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 stified, and that further retention is not required for any litigation pending or imminent.
4gte ame and Title (Senior Staff o ly) 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
GS1-SL 340 Disbursement Records - Detail
Purchase Orders & requests 5 FY 3/29/02 - 8/14/12 1
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 manQpr and on the date shown in column g.
deletions or modifications are indicated. (Witness to the rds d" sition)
L
_LAkLMM)#1,--
tC Signatur Date
Custodian/Records Liaison Officer ate
r-K)yK 1o,u( , 1 I 0'%( Lj-pr
Name and Title
Form Updated: 1/3/17