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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Housing Services; 2025-01-27 (3)This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 2021 P a g e | 1 DATE: 7/9/2024 REQUESTING DEPARTMENT:HOUSING &HOMELESS SERV.REQUESTER:ERIN PEAK DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, required audits have been completed, and no pending or ongoing litigation or investigation involving these records is known to exist. DEPT. HEAD/DIVISION MANAGER DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE *If more spaces are needed, click in the last box in right hand corner of To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY:___________________________DATE:______________ CERTIFICATE OF DESTRUCTION?YES NO TAB BARCODES DELETED BY:_____ _______________________________ DATE:______________ BOX NO.RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE (if applicable) 1 Affordable Housing Resale Program - Agreements 2010-2024 CW-020 Copies when no longer required See Excel spreadsheet 2 Affordable Housing Resale Program - Agreements 2010-2024 CW-020 Copies when no longer required See Excel spreadsheet 3 Affordable Housing Resale Program - Agreements 2010-2024 CW-020 Copies when no longer required See Excel spreadsheet RECORDS DESTRUCTION AUTHORIZATION FORM CORODATA 1/27/2025 1/29/2025 Docusign Envelope ID: 5CDC5824-98E6-4712-8724-B332D5284DA9 DATE: 7/9/2024 REQUESTING DEPARTMENT: HOUSING & HOMELESS SERV. REQUESTER: ERIN PEAK DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, required audits have been completed, and no pending or ongoing litigation or investigation involving these records is known to exist. DEPT. HEAD/DIVISION MANAGER {"city of Carlsbad DATE RECORDS MANAGEMENT 7/25/2024 DATE CITY ATTORNEY DATE table and hit "tab". This will create more fields in the table. Property Address Owner Purchase Yr Resale Yr LF Destruction Date Tab Barcode (if Available) Box 2636 Hancock Darnel/Joyce Lee 2014 2019 yes 9/5/2024 H0004927 1 2645 Hancock Hung Le/Tam Nguyen 2005 2019 yes 9/5/2024 H0002520 1 2686 Alameda Jaci Johnson 2006 2019 yes 9/5/2024 H0002849 1 2684 Alameda Jessica Dehaven 2005 2010 yes 9/5/2024 H0002683 1 2670 Leighton Nicholas and Erinn Snively 2005 2012 yes 9/5/2024 H0002738 1 6205 Liberty Maria Cotto 2005 2012 yes 9/5/2024 H0002638 1 6211 Liberty Michael Strong 2005 2010 yes 9/5/2024 H0002573 1 2681 Leighton Silva Cobian 2005 2010 yes 9/5/2024 H0002689 1 6215 Shamrock Luis Guajardo-Perez 2005 2018 yes 9/5/2024 H0002792 1 6209 Shamrock Yuen Mao & Lin Yan 2005 2011 yes 9/5/2024 H0002749 1 6220 Liberty Yyonne Agorio 2014 2017 yes 9/5/2024 H0004521 1 6219 Liberty Steve Wilson 2012 2018 yes 9/5/2024 H0004610 1 6241 Shamrock Jeremiah Moersch 2005 2012 yes 9/5/2024 H0002524 1 6218 Liberty Richard/Sachiko Peterson 2006 2019 yes 9/5/2024 H0003015 1 7018 Forsters Jean Savalas 2016 2020 yes 9/5/2024 2 2684 Alameda Pamela Everett 2010 2020 yes 9/5/2024 H0004244 2 6216 Liberty Vladmir Potashov 2005 2020 yes 9/5/2024 H0002626 2 2649 Hancock Rosalinda Chandarlis 2005 2020 yes 9/5/2024 H0002494 2 2678 Alameda Ramon Gonzalez 2012 2020 yes 9/5/2024 H0004667 2674 Alameda Daryl/Natasha Albright 2005 2021 yes 9/5/2024 H0002688 2 6211 Liberty Bradford Galey 2010 2021 yes 9/5/2024 H0004040 2 4030 Sand Cove Beau Blue 2013 2021 yes 9/5/2024 H0004699 2 2685 Alameda Rose Kuatz 2013 2021 yes 9/5/2024 H0004729 2 2636 Hancock City of Carlsbad 2019 2022 yes 9/5/2024 2 6219 Liberty Shannon Mctaggart 2012 2022 yes 9/5/2024 2 577 Laguna Tracy Templeton 2013 2022 yes 9/5/2024 H0004661 3 571 Laguna Carla Horner 2006 2022 yes 9/5/2024 H0003224 3 2669 Leighton Cuellar 2005 2022 yes 9/5/2024 H0002695 3 2778 Carlsbad Blvd 202 Matthew Condomitti 2008 2024 yes 9/5/2024 H0003583 3 2671 Leighton Livingston 2005 2024 yes 9/5/2024 H0002690 3 2683 Leighton Alam & Khanam 2006 2024 Yes 9/5/2024 H0003016 3 7016 Forsters Tern Julie Vilcek 2012 2024 yes 9/5/2024 H0004581 3 2778 Carlsbad Blvd 200 Remy & Theresa Kirkham 2005 2024 yes 9/5/2024 H0002680 3 2631 Hancock Paul/Donna Shepherd 2005 2023 yes 9/5/2024 H0002493 3 RECORDS DESTRUCTION REPORT Maria Emery DATE: 8/1/2024 TOTAL RECORD COUNT: 30 COMMENTS: Housing Services Resale Program Agreements - physical copies ENTRY ID REVIEW DATE Template NAME 4347759 2024/08/01 Physical Folder 577 LAGUNA DRIVE; ; AFFORDABLE HOUSING 4355378 2024/08/01 Physical Folder AGORIO, YVONNE; 6220 LIBERTY PLACE; AFFORDABLE HOUSING 4356024 2024/08/01 Physical Folder ALAM/KHANAM, ZEYN & SHRIN; 2683 LEIGHTON CIRCLE; AFFORDABLE HOUSING 4355115 2024/08/01 Physical Folder BLUE, BEAU GARRETT; 4030 SAND COVE WAY; AFFORDABLE HOUSING 4356438 2024/08/01 Physical Folder CHANDARLIS, ROSALINDA; 2649 HANCOCK CIRCLE; AFFORDABLE HOUSING 4356420 2024/08/01 Physical Folder COBIAN, SILVIA; 2681 LEIGHTON CIRCLE; AFFORDABLE HOUSING 4355703 2024/08/01 Physical Folder CONDOMITTI/RODERICK, MATTHEW & MELODY; 2778 CARLSBAD BLVD #202; AFFORDABLE HOUSING 4356261 2024/08/01 Physical Folder COTTO, MARIA; 6205 LIBERTY PLACE; AFFORDABLE HOUSING 4356407 2024/08/01 Physical Folder CUELLAR, SUSANA M.; 2669 LEIGHTON CIRCLE; AFFORDABLE HOUSING 4356431 2024/08/01 Physical Folder DE HAVEN, JESSICA E.; 2684 ALAMEDA CIRCLE; AFFORDABLE HOUSING 4355491 2024/08/01 Physical Folder EVERETT, PAMELA; 2684 ALAMEDA CIRCLE; AFFORDABLE HOUSING 4355496 2024/08/01 Physical Folder GALEY, BRADFORD; 2410 BURGOS COURT; AFFORDABLE HOUSING 4355173 2024/08/01 Physical Folder GONZALEZ, RAMON; 2678 ALAMEDA CIRCLE; AFFORDABLE HOUSING 4356294 2024/08/01 Physical Folder GUAJARDO-PEREZ, LUIS S.; 6215 SHAMROCK PLACE; AFFORDABLE HOUSING 4356021 2024/08/01 Physical Folder HORNER, CARLA A.; 571 LAGUNA AVENUE; AFFORDABLE HOUSING 4356249 2024/08/01 Physical Folder JOHNSON, JACI MICHELLE; 2686 ALAMEDA CIRCLE; AFFORDABLE HOUSING 0 d Ca li fornia 4355062 2024/08/01 Physical Folder KAUTZ, ROSE MARIE; 2685 ALAMEDA CIRCLE; AFFORDABLE HOUSING 4356208 2024/08/01 Physical Folder KIRKHAM, REMY; 2778 CARLSBAD BLVD #200; AFFORDABLE HOUSING 4354925 2024/08/01 Physical Folder LEE, DARNELL & JOYCE; 2636 HANCOCK CIRCLE; AFFORDABLE HOUSING 4356418 2024/08/01 Physical Folder LIVINGSTON, STEVEN J.; 2671 LEIGHTON CIRCLE; AFFORDABLE HOUSING 4356334 2024/08/01 Physical Folder MAO/YAN, YUEN HUI/LIN RONG; 6209 SHAMROCK PLACE; AFFORDABLE HOUSING 4356392 2024/08/01 Physical Folder MOERSCH, JEREMIAH; 6241 SHAMROCK PLACE; AFFORDABLE HOUSING 4356422 2024/08/01 Physical Folder NEAL/ALBRIGHT, DARYL & NATASHA; 2674 ALAMEDA CIRCLE; AFFORDABLE HOUSING 4356026 2024/08/01 Physical Folder PETERSON, RICHARD & SACHIKO; 6218 LIBERTY PLACE; AFFORDABLE HOUSING 4356280 2024/08/01 Physical Folder POTASHOV, VLADIMIR; 6216 LIBERTY PLACE; AFFORDABLE HOUSING 4356439 2024/08/01 Physical Folder SHEPHERD, PAUL AND DONNA; 2631 HANCOCK CIRCLE; AFFORDABLE HOUSING 4356349 2024/08/01 Physical Folder SNIVELY, NICHOLAS AND ERINN; 2670 LEIGHTON CIRCLE; AFFORDABLE HOUSING 4356317 2024/08/01 Physical Folder STRONG, MICHAEL; 6211 LIBERTY; AFFORDABLE HOUSING 4355307 2024/08/01 Physical Folder VILCEK, JULIE; 7016 FORSTERS TERN DRIVE; AFFORDABLE HOUSING 4355253 2024/08/01 Physical Folder WILSON, STEVEN LEROY; 6219 LIBERTY PLACE; AFFORDABLE HOUSING CERTIFICATE OF DESTRUCTION & RECYCLING This Certificate is presented to: CITY OF CARLSBAD - RECORDS MANAGEMENT DIVISION Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not inventory, record or track any information contained within or related to the Material. Account #(s)SD012455 Certificate #104891 Date Issued Tuesday, January 28, 2025 Service Locations 5815 EL CAMINO REAL Date Range of Service Jan-27-2025 thru Jan-27-2025 Work Ticket(s)1441119 Quantity/Item 106 -106 Boxes for Destruction (standard) * Nothing in this certificate shall be deemed to modify the terms of the parties’ Service Agreement(s) or Work Ticket(s). E•Jcorodata -tl HIPA'A GIJIJlll!affl