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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Council; 2012-03-22<^0^ CITY OF CARLSBAD Records Management Page 1 of 1 RECORDS DESTRUCTION AUTHORIZATION DEPARTMENT REQUESTING DESTRUCTION: Ci"Vy (UxjHCi \ Person(s) Completing Form: \y^VJLS APPROVALS FOR DESTRUCTION Department Head Records Manager Date Date 12- City Attorney Date 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. BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) APPROVED By City Attorney H=H0LD 1 / To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: rJX vYES • NO DATE DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program Revised 12/23/2009 WE RECYCLE >^jjfe(f-li USA Ifie.: P. O. Bm 2077 Vista. CA 920852077 PHONE 76I>-598~570Q SERVICE LOCATION: BILLED TO: -?ly Of Cartsbai^-.Re^orcIs MaDapemi^o? 5815 EtCammoJIeal **N0 SURrCHApSE Carfsbad, OA §2iJ0e CERTIFICATE REFERS TO INVOICE NO. DATE: D910631499 1/22/2012 PURGE This is to certify that Shred-it destroyed confidential information for the above mentioned company by TRUCK NO. TRUCK NO.: CUSTOMER SERVICE REP.: ' / C''^ jj TOTAL TIME: CLIENT: PRINT CUSTOMER'S NAME: MRS.: MIN.: Q This year, through Shred-it's recycling program, your firm has saved Q trees from destruction. CERTIFICATE OF DESTRUCTION THANK YOU FOR YOUR BUSINESS. SECURING YOUR OFFICE AND THE ENVIRONMENT