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j RECORDS DISPOSITION DOCUMENT NO <br /> PAGE 1 OF 1 PAGES <br /> rIndian <br /> AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone Number) <br /> WIFFIF <br /> River County BCC <br /> man Resources Department Shelley Nowlin <br /> 1800 27th Street , ( 772 ) 226 - 1456 Ext . <br /> Vero Beach , Florida 32960 <br /> 3. NOTICE OF INTENTION : The scheduled records listed in Item 5 are to be disposed of in the manner checked below (specify <br /> only <br /> one) . <br /> ® a . Destruction ❑ b . Microfilming and Destruction ❑ c . Other <br /> 4. SUBMITTED BY : I hereby certify that the records to be disposed of are correctly represented below, that any audit requirements <br /> for <br /> tlFW records have bee y� fully , and that further retention is not required for any litigation pending or imminent. <br /> Colleen Peterson , Human Resources Manager 02/20/2013 <br /> Signature Name and Title Date <br /> 5. LIST OF RECORD SERIES <br /> f. g . <br /> a . b. C. d e. Volume Disposition <br /> Schedule Item Title Retention Inclusive In Action and <br /> No. No. Dates Cubic Date <br /> Feet Completed <br /> I After <br /> Authorization <br /> Personnel Records : FL Retirement <br /> GS1 -SL. 19_ ...... . . .._System....................... 25 FY 10/ 1 /86 — 09/30/87 5 . 0 <br /> _...................__...........................__......._........................ . ........__............... ..._................................_.......... <br />......._.._..._......._.._...._....................._._........................ ..... ._...._..............._.. ..._ . .......... .._........... . .. . ... .._ WWII <br /> GS IFFEL 111 Insurance Records 5 FY 10/ 1 /06 — 09/30/07 5 0 <br /> _ . . ........ . . . . . .. . . WWII_....._. . ... ......... <br /> _ ._. . _ WWII _ . WWII. . . <br /> GS1 - SlFW, 17 Correspondence & Memoranda : <br /> Administrative 3 FY 10/ 1 /08 — 09/30/09 2 . 0 <br /> . . ... ... .. _ _ WWII.. . ... .. .... ..... . <br /> Eq . <br /> Equal Employment Opportunity <br /> GS1 - SL. 103 Compliance Records <br /> _ . . . .. . . . . . _ (A/A Survey. Forms.)... ... ........... . . . . . .. . .............. ... ..... . .... .. ............. . 4 <br /> Yrs 01 /01 - 12/31 /08 1 0 <br /> GS1 SL 24 Employment Application & Selection <br /> Records ( Record Copy) I . . III2....Y...d..rs ..01. /0. 1 - 12/31 / 10 5 . 0 <br /> ....._ .._ . ..._..... .. .._ . __........... . . . . . <br /> GS1 SL 195 Payroll RecoI.IFrds : SuWWWpporting Documents 3 Yrs 01 /01 - 12/31 /09 28 . 0 <br /> . .. .. . . ........ . ... . ... ........... ..... . . . __................ .. . . . . ........... . .. . ...... <br />...... .. .. ..... . . . .. . <br /> I � <br /> Personnel Records OPIF ww""SNolunteer/ <br /> GS1SL 66da4da <br /> Intern/Temporary Employment 3 FY 10/ 1 /08 — 09/30/09 1 . 0 <br /> ........ . . _. _..._.. __.... .. ....._......_......._...._ _ ..... .... ...... _ . ... . . .. _ ... <br /> GS1 SLS _ 88 Budge Records 2 FY 10/ 1 /09 - 09/30/ 10 1 . 0 <br /> 6 . DISPOSAL AUTHORIZATION : Disposal for the above listed records 7 . DISPOSAL CERTIFICATE : The above listed records have <br /> been <br /> is authorized . Any deletions or modifications are indicated . disposed of in the anner and on the date shown in column <br /> 1 J3 <br /> - IF Signature Date <br /> L@V Colleen Peterson , Human Resources Manager <br /> stodian/Records Manageme 6aiso Offic r Date Name and Title <br /> `W`W,PWW,, SV,.,.F k <br /> Laura Vasquez Witness <br />