HomeMy WebLinkAboutDisposition Forms_33-18_06/25/2018_Clerk NO.
RECORDS DISPOSITION DOCUMENT PAGE OF PAGES
1. AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone
VILLAGE OF TEQUESTA Number)
345 Tequesta Drive Lori McWilliams, MMC
Te uesta, FL 33469 (561) 768-0443
3. NOTICE OF INTENTION: The scheduled records listed in Item 5 are to be disposed of in the manner specified
below (specify only one).
Oa. Shred at Department Level O c. Send to Storage until O e. Recycle
Disposition Date Met
Qb. Send to Storage for Shredding O d. Removed from Server Of. Other
4. SUBMITTED BY:
I hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for the
rec r s have been fully justified, and that further retention is not required for any litigation pending or imminent.
V.
CGS U I
Signature Name and Title (Senior Staff only) Date
5. LIST OF RECORD SERIES
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 242 Drafts and Working Papers ROA 2007 .25 dew''"
146 Transitory Messages ROA 2016 .001
3 Adrrinistraf;ve Support Records-Clerk supporting documents for budget work papers ROA 2007-2017 1
23 INFORMATION REQUEST RECORDS 1 FY 13/14, 14/15, 15/16 1
374 Subpoenas 1 Annivyr 7/31/13-1/1/14 0i11
TOTAL CUBIC FEET THIS PAGE: ,A
6. DISPOSAL AUTHORIZATION: Disposal for 7. DISPOSAL CERTIFICATE: The above listed records have been
the above listed records is authorized. Any disposed of in the manner and on the date shown in column g.
letions or modifications are indicated. 04
Records Liaison Officer Signature Date Signature Name/Title Date
Routin :
1. Originates with Department Senior Manager, then 1. Originates with Department Senior Manager, then
2. Village Clerk's Office authorizes disposition, and returns to 2. Village Clerk's Office authorizes disposition and/or storage li
3. Originating department to dispose and document column g, at the storage room and will contact Public Works to remove
then sends records
4. Completed form to Village Clerk's Office for permanent 3. Clerk's Office will be responsible for final disposition of
archival records at this point
Form Updated: 4/11/18
OR