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RECORDS DISPOSITION DOCUMENT NO. <br /> PAGE 1 OF 1 PAGES <br /> 1. AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone Number) <br /> Indian River County BCC <br /> Human Resources Department Shelley Nowlin <br /> 1800 27"' Street, (772) 226-1449 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 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 for <br /> tl�e records have be n fully justified, and that further retention is not required for any litigation pending or imminent. <br /> Colleen Peterson, Human Resources Manager January 21 2014 <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 /> After <br /> Authorization <br /> Personnel Records: FL Retirement <br /> GS1-S1- 19 System 25 FY 10/1/87—09/30/88 5.0 <br /> GS1-SL 111 Insurance Records 5 FY 10/1/07 —09/30/08 5.0 <br /> GS1-SL 17 Correspondence & Memoranda: <br /> Administrative 3 FY 10/1/09—09/30/10 2.0 <br /> Equal Employment Opportunity <br /> GS1-SL 103 Compliance Records <br /> (A/A Survey Forms) 4 Yrs 01/01 — 12/31/09 1.0 <br /> GS1-SL 24 Employment Application & Selection <br /> Records (Record Copy) 2 Yrs 01/01 — 12/31/11 5.0 <br /> _. _._ <br /> GS1-SL 195 Payroll Records: Supporting Documents 3 Yrs 01/01 — 12/31/10 29.0 <br /> ........ _ _ <br /> GS1-SL 66 Personnel Records: OPSNolunteer/ <br /> Intern/Temporary Employment 3 FY 10/1/09 09/30/10 2.0 <br /> GS1-SL 110 GrievanceRecords 3 FY 10/1/09—09/30/10 2.0 <br /> ..._..__ ......_.... _. _ <br /> GS1-SL 82 Affirmative Action Records 2 Yrs 01/1/99 - 12/31/11 1.0 <br /> GS1-SL 88 Budget Records 2 FY 10/1/10—09/30/11 1.0 <br /> 6. DISPOSAL AUTHORIZATION: Disposal for the above listed records 7. DISPOSAL CERTIFICATE: The above listed records have been <br /> is authorized. Any deletions or modifications are indicated. disposed of in t e manner and on the date shown in column g. <br /> Signature ate <br /> Colleen Peterson Human Resources Manager <br /> stodian/Reco s Manag n ' n Officer at Name a Title <br /> Laura Vasquez Witness <br /> 23 <br />