HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2025-08-04This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 8/4/2025
P a g e | 1
DATE:
REQUESTING
DEPARTMENT(S): REQUESTER:
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.
DEPARTMENT HEAD DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
If more spaces are needed, click in the last box in right hand corner of table and hit “tab”. This will create more fields in the table
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ___________________________ DATE: ______________
CERTIFICATE OF DESTRUCTION? YES NO
TAB BARCODES DELETED BY: _____ ________________________ DATE: ______________
RECORDS DESTRUCTION AUTHORIZATION FORM
8/04/2025
P&R - Parks Maintenance Adriana Alvarez
1 of 3 Copies of invoices FY 2023-2024
2 of 3 Copies of invoces FY 2022-2023
3 of 3 Copies of invoices FY 2021-2022
U HU HU H
CW-105
CW-105
CW-105 N/A
N/A
N/A
Copies - When no longer required
Copies - When no longer required
Copies - When no longer required
08-07-202508-05-2025 8/18/25
Corodata 8/18/2025
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City of
Carlsbad
□
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 #105260
Date Issued Thursday, August 21, 2025
Service Locations 5815 EL CAMINO REAL
Date Range of Service Aug-18-2025 thru Aug-18-2025
Work Ticket(s)1539874
Quantity/Item 55 -58 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).
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