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j RECORDS DISPOSITION DOCUMENT NO. <br /> PAGE 1 OF 1 PAGES <br /> 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) 226-1456 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 only <br /> one). <br /> E 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 /> t49 records have beeyt fully justified, 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. <br /> 9. <br /> a. TNo <br /> C. d. e_ Volume Disposition <br /> SchedulTitle Retention Inclusive In Action and <br /> No. Dates Cubic Date <br /> Feet Completed <br /> After <br /> Personnel Records: FL Retirement Authorization <br /> GSI-SL. 19 System _25 FY 10/1/86-09/30/87 5.0 <br /> GSI-SI_ 111 Insurance Records 5 FY 10/1/06-09/30/07 5 1..0 <br /> _ . _. .. .... ... ... <br /> _. <br /> S1-SI_ 17 Correspondence & Memoranda: <br /> Administrative 3 FY 10/1/08-09/30/09 2.0 <br /> Equal Employment Opportunity <br /> GS1 S <br /> LL 103 Compliance Records <br /> (A/A Survey Forms) 4 Yrs 01/01 - 12/31/08 1.0 <br /> I GS1-SL 24 <br /> Employment Application& Selection <br /> Records (Record Copy) 2 Yrs 01/01 - 12/31/10 5.0 <br /> GS1-SL 195 Payroll Records Supporting Documents 3 Yrs 01/01 - 12/31/09 28.0 <br /> Personnel Records OPSNolunteer/ <br /> GS1 SL 66 Intern/Tem ora Employment 3 FY 10/1/08-09/30/09 1.0 <br /> P. ...ry _ ........ <br /> GS1_SL 1 88 Bud et 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 been <br /> is authorized. Any deletions or modifications are indicated. disposed of in the anner and on the date shown in column <br /> Signature I Date <br /> �"�/ . <br /> Colleen Peterson, Human Resources Manager <br /> stodian/Records Manageme laiso Offic r ��Date Name and Title <br /> S'"k�L'—1 P _ <br /> Laura Vasquez 4 ' <br /> Witness <br /> ! <br /> 53 <br />