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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Fire Prevention; 2008-04-28 (2)RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ •» t
Approvals for Deduction
Date
Date
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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
<?<_-<- 3
<"«-,*"?
3 G 4 3 0
RECORD
CERTIFICATE OF DESTRUCTION? Yes
DATE
SMEADLINK BARCODES DELETED BY:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ +L f£-_
Approvals for Destruction
Department Head
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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
"7
t
16
6
/**-*• ^f*
~>l« (a ok
"
Tla \*sf> I Os^^. li^
•3(60
at, 16 - €
el, -36 -
V
3
3
SMEADLINK BARCODES DELETED BY:
DATERECORD DlLMRUCllUN U^MELETEDJBY :
CERTIFICATE OF DESTRUCTION? Yes D No
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ » t f-fL
Approvals for Destruction
Records Date
Attorney Date
WejDerirfyThat 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
(1 •2/0*2:
CVb-fr&^tc
2-ftrt.
Tt i at 3^-
1* ?&*> Co
/r i/-
DATERECORD
CERTIFICATE OF DESTRUCTION? Yes
SMEADLINK BARCODES DELETED BY:
7/i/s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ * ( f£. \<VV'(. /1/tTfrt,
Approvals for Destruction
We-ee"rtify 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
Ik nl
Coftt- oUA CJLdso
oteA Ctciso
( 6^. Uo
01,'SC -L-f 3
<r w^- 3
(tciro
ioOdt,cUA C*£>(/L>
3-0 lif
(of) le g
DATERECORD DESTRt^TnOTir€e^ffiLElEJDFY
CERTIFICATE OF DESTRUCTION? Yes D No
SMEADLINK BARCODES DELETED BY:
Th/'s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ *i
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We certify^ttlat the records listed below have been retained for the scheduled retention period, required audits have
beeffcompleted, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
r
Co/ti.
2 2_
Ccfte, dsA Cedso
- ssr
-23 •2k,
(n 0-1 <P
fti - Xfo,
\lf.t-
DATERECORD
CERTIFICATE OF DESTRUCTION? Yes
SMEADLINK BARCODES DELETED BY:
7/i/s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ > i
Approvals for Destruction
Date
We cerjify^tfiat 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
0 1, It -
CL+- 7
ci^ r3-"M
(067% Corte. <?U-< Ce4so
£'o L
fl'S*.
'i
0 (. 30 -
DATE:RECORD DESTRUCTteN-rOTViPT EJED^BY :
CERTIFICATE OF DESTRUCTION? Yes D No
SMEADLINK BARCODES DELETED BY:DATE:
7/7/s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ *i
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We certjfy-ttiat 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
31 \i'i
1/ff -
Co/te. dM CtcHfe
31-fi'L
fiu l«yl 01. $0-$$
c n
Co/k.
Put J»y(
ffb 20 -C i~-t 3
"**•(<><
35"
d-eA
L/
RECORD DESTRTTCTiO?«^OMELETEpJBY :
CERTIFICATE OF DESTRUCTION? Yes d No
SMEADLINK BARCODES DELETED BY:
DATE
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ » *
Approvals for Destruction
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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
^6 36 - S<
ft, 36 -05 nl
31 y> I (s^.
3 &<*J>A
>«(<->
Ot> "
365<." Carte,-&l(,/flc- If ((ft
\dct( ^ a/fa
RECORD
CERTIFICATE OF DESTRUCTION? Yes
SMEADLINK BARCODES DELETED BY:
DATE
form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ *i f-(L fV <V f /i/cT
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We certjfy-tffat the records listed below have been retained for the scheduled retention period, required audits have
;n completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
IL 7 Ct_
Ote 4—3 -at
-^1(00 0 (. It, , ST
GL, 3 6 -6~f
Of, 3 0' of 4- 3
Co/te. fLeA
If* <
DATERECORD
CERTIFICATE OF DESTRUCTION? Yes D No
SMEADLINK BARCODES DELETED BY:
This form documents the destruction of City records In accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ » c
Approvals for Destruction
Department Head Date
Records Manae Date
Attorney Date
We ceriffyihat the records listed below have been retained for the scheduled retention period, required audits have
Jeen completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
14-l
CL-+ 3
c c n( <\
Ot, 36- - SS~
-f 7
Oi. 36 -55-
01, ? (, -0-$-
0 Ip'll"- ST
0 t 3t - a f C 14 4 3
cteA
rice I G-ts*.
<sLt (<
RECORDTJESTR¥€5^QM_COWLETED BY
CERTIFICATE OF DESTRUCTION? Yes
DATE
SMEADLINK BARCODES DELETED BY:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ » i
Approvals for Destruction
Date
We eeffify 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
*!<*-52:
oLeA
- <• r
- 1,1*3,
C.I-4- %
CLs 4 3-
ot C L-
RECORD
CERTIFICATE OF DESTRUCTION? Yes
SMEADLINK BARCODES DELETED BY:
T/H'S form documents (he destruction of" Crty records ;'n accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of I
Department Requesting Destruction: _ > t
Approvals for Destruction
torney Date
We certify thaWfferecords listed below have been retained for the scheduled retention period, required audits have
beer>edmpleted, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
li f t> foti
AeA
ift
f-
«°Co Co fa,
^~
bO
.214-3 C-L
SMEADLINK BARCODES DELETED BY:
DATERECORTn)ESTR¥CIIQ]lC^M2LETED BY
CERTIFICATE OF DESTRUCTION? Yes
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of I
Department Requesting Destruction: _ > i f*L
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We certifyJJaatthe records listed below have been retained for the scheduled retention period, required audits have
bee^KCompleted, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
u 2:Ci-f 3
6 1, -1,6 - <-~S~nj_
?2L,C
fcZ - //f 2-
C-L.
OLIO -of
OliZir - 5?
OL 3f - e $~
Cfc
55-C i~* 3
SMEADLINK BARCODES DELETED BY:
DATERECORD OBSTRUCT
CERTIFICATE OF DESTRUCTION? Yes
77i/s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ > t (<£. fV{'u'C A/U(
Approvals for Destruction
Department Head Date
Records Manager Date
\ttorney Date
We certifvjkafme records listed below have been retained for the scheduled retention period, required audits have
beefrcompleted, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
fi ft liy /&^. U^2:CL-+ 3
C4.
67
CL-4-3
Cut?
u
- T/U
"
oi'io -sr
Ok ?e -Of
76 01,36 -55-
RECORD DESTRTJCTreN-€OMELJETED£y:
CERTIFICATE OF DESTRUCTION? Yes D No
DATE
SMEADLINK BARCODES DELETED BY:
Tft/'s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page I of 1
Department Requesting Destruction: _ > f
Approvals for Destruction
Attorney Date
We certify that the record>-H£fed below have been retained for the scheduled retention period, required audits have
been completed, andno pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
c <-.-*- 3
let r d <f3ii'r ^
o t ^6 - s 5"
t' i. it - <5 5"
ft'ff ^fj3 (s £*o 6 -it, -or
7/0-3-
DATERECORD DE
CERTIFICATE OF DESTRUCTION? Yes
SMEADLINK BARCODES DELETED BY:
7"/?/s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ +i f-(L fV Y' i>£ /i/M^
Approvals for Destruction
Department Head Date
Records Manager Date
We certify
been
:orney Date
tha
Tpieted
records listed below have been retained for the scheduled retention period, required audits have
, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
2:
Of.
-n
Cr/<.-t
'lot -- 1
13t C-L .
0 to 3i, _ £5-CL-f
fi /e.1 (f-t^ /i -/o
oL -
- 63-CL.tr J
C L* *-J
to £.
RECORD
CERTIFICATE OF DESTRUCTION? Yes
SMEADLINK BARCODES DELETED BY:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ * t f-(L
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We certjfy-ifiat the records listed below have been retained for the scheduled retention period, required audits have
?n completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
^
6 <• »- ^"5"
fft, ?f - 6-5 "M
(r-f/\ I-1 r"
ot.
- 6<T
C-L
0 t> ?<j-CT C vi -1-3
Oi.
kt A
C-t \Q(,
DATERECORD DESTR
CERTIFICATE OF DESTRUCTION? Yes
SMEADLINK BARCODES DELETED BY:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ » i
Approvals for Destruction
Department Head Date
Records Manager Date
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.
Person(s) Completing Form:
-, 0
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
o ,
5^31 c-t . *Ho~?
\0\0c -
n
D &,„,.* Cl,Ko
o 5"
-UCkr,
RECORD
CERTIFICATE OF DESTRUCTION? Yes
SMEADLINK BARCODES DELETED BY:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ » * f£.. \<£ UC A/U("&,,
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We certify^ttlat the records listed below have been retained for the scheduled retention period, required audits have
be£ncompleted, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
&•€/>. (*\fo
C-fc-
0-2.//</(Oi,
7
C-L
/ &/c^- ^ r"v/61, 1C, - 5T
at, jo - of (LA / 3
RECORD DESTRUC
CERTIFICATE OF DESTRUCTION? Yes D No
DATE
SMEADLINK BARCODES DELETED BY:
77?/s form documents (he destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 1 of 1
RECORDS DESTRUCTION REQUEST
Department Requesting Destruction: _ » <
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We cerjify-ifiat 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
12
ei. So -
'fi/OZ _
ffi, 3,6 - o<
51(tO
OL 3 0 - 0 T
wo 01.
5? 2-X
RECORD
CERTIFICATE OF DESTRUCTION? Yes
DATE
SMEADLINK BARCODES DELETED BY:
7/7/s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ > t
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We certifytbafthe 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
161 Fi'/f.¥-,I. t-t^fx
SS
6 fe 30 '
(o3
("^%^ AC-€.^X —
0 (.30
iO¥-
Iso-z.
CERTIFICATE OF DESTRUCTION? Yes
SMEADLINK BARCODES DELETED BY
DATE
7/i/s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ » i (•£-
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We certify thafthe records listed below have been retained for the scheduled retention period, required audits have
been sompleted, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
Us/?/
16-?r tV<
CL-f- 3
£.<:/?.
•esc/ ^ E-C-/2.
16
0 i 36 - 55"CL.-4 3
36,
UO
56 g
RECORD
CERTIFICATE OF DESTRUCTION? Yes D No
DATE
SMEADLINK BARCODES DELETED BY:
Tft/s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ > i f{L f/Yc/f/1/tTgo/—
Approvals for Destruction
Department Head Date
Records Mana Date
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.
Person(s) Completing Form:
T c
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
ii£-
ri /
250?
aft.
*•/'!'? -01,36 -S-5
ft, '46
Die '3f
C L. ^ -3
(O
ru £ - c .
T /« 2 _O t, 3 &• -t 5
ri y a t, 3f - $-$
Ci, 3^ -<;-j-
DATE
CERTIFICATE OF DESTRUCTION? Yes
SMEADLINK BARCODES DELETED BY:
7/i/s form documents the destruction of Crty records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _\ f(.\j(. /t/M
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We certify-that the records listed below have been retained for the scheduled retention period, required audits have
begficompleted, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
T\~f,f,(
M-7
0 (. 3 o -
Iff f
Olc
n Ci
Mu Ct Jo - <
DATE
__
RECORD DESIU
CERTIFICATE OF DESTRUCTION? Yes D No
SMEADLINK BARCODES DELETED BY:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ + i f^ \f(<J(. A/ty
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We cejiifytnat the records listed below have been retained for the scheduled retention period, required audits have
£en completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
12. (fire (si
c-t— 13
nl
12. -Z.U fa
fi/jt. I* f'f.
&
fh.C./Z.
•/3 111-01,2*
r /_•<- j
rt, -f-3
CERTIFICATE OF DESTRUCTION? Yes
SMEADLINK BARCODES DELETED BY:
DATE
7/i/s form documents (ne ofes(ruc(/on of Cfty records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ *t
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We cerJify-tFiat the records listed below have been retained for the scheduled retention period, required audits have
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
2:01, iO -
n( £\
fV/x
£/<?<?-
. c./e.r
\ 2
a If 30 _ £"5"
' (V
£,C.H
6(, 30 -
DATERECORD
CERTIFICATE OF DESTRUCTION? Yes D No D
SMEADLINK BARCODES DELETED BY:
T/i/s form documents the destruction of C/ty records /n accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ > i
Approvals for Destruction
Department Head Date
Records Manas Date
Attorney Date
: the records listed below have been retained for the scheduled retention period, required audits have
feen completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
2:
13-2-
(33 f^vx:
01,36-
DATE :RECORD DESTTmCTtOf^e^MELETEJD£V :
CERTIFICATE OF DESTRUCTION? Yes F] No
SMEADLINK BARCODES DELETED BY:
7/7/s form documents fne destruction of City records »n accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ » i f*L \<YU<f /i/t/ffa
Approvals for Destruction
Department Head Date
Records Manager Date
Attorney Date
We certify-thcif 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
(37 (i->, 1 Qt^t U/c
- -5 5"
C i-r -TtS
13%o i_-»- 2
- C
?/«? -<lt*C L* 4-
Fin V Ci-l
A
DATERECORD DESTRUCTIO
CERTIFICATE OF DESTRUCTION? Yes D No
SMEADLINK BARCODES DELETED BY:
T/J/'S form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ > i f£. \<YU£ /i/t|
Approvals for Destruction
Attorney Date
We certify^thaTthe 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
IW- (
3
cu + 3
^'/?(-
lie3 -
36-s-r
C (si
(-3
at,
0 (r 3( -
RECORD
CERTIFICATE OF DESTRUCTION? Yes D No
DATE
SMEADLINK BARCODES DELETED BY:
7/i/s form documents fne destruction of City records in accordance wrtn the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ *i
Approvals for Destruction
We certifyjhat 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
ft*.
O
tit*
fc- -
- sr
//?<
.2 c, i
150 r '
^
"(. 36- 55"
-(-
RECORFlJESTiWCIIQNCOMPLETED BY :
CERTIFICATE OF DESTRUCTIONT^Yes
DATE
SMEADLINK BARCODES DELETED BY:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ > t
Approvals for Destruction
Department Head
Records Manager Date
utorney 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
F///< (s-f.^- i <i
(IJ7l - It/l
(62 6k 3t> -55
ifa-
ult/eg
- 5T c i-+- 3
-'(,3.0 P. •£.£.e
15 r - 5-5
SMEADLINK BARCODES DELETED BY:
DATERECORD~DT^STRtJ€:HOIl£QMPLETED BY :
CERTIFICATE OF DESTRUCTION? Yes II No
This form documents the destruction of Crty records /n accordance ivrth (he California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ *i f*L
Approvals for Destruction
Department Head
Records Manager Date
Attorney Date
We certifyJI=tatthe records listed below have been retained for the scheduled retention period, required audits have
beeffcompleted, and no pending or ongoing litigation or investigation involving these records is known to exist.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
F(nl
61 A
O h 30 -OS
fc ft.•JJLL
- 5-5-
A.
?/%< -
O
SMEADLINK BARCODES DELETED BY:
DATERECORD DESTR^eHON_C^MPLETED BY :
CERTIFICATE OF DESTRUCTION? Yes LJ No
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ > i
Approvals for Destruction
Department Head Date
Records Manager Date
Srney Date
We certify th^Uhsrecords 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
-at
IC2
o
& le -36 - 5V
RECORD
CERTIFICATE OF DESTRUCTION? Yes D No
DATE
SMEADLINK BARCODES DELETED BY:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ *c
Approvals for Destruction
Department Head
Date
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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
/to
-*rsr
£/ Cc.~x.wa
I iff,
O <e '
2 e.c.z.
11 0 .\Z 6 d
DATERECORD DESTTnTCTf©N-GOMEIJETEpBY
CERTIFICATE OF DESTRUCTION? Yes D No
SMEADLINK BARCODES DELETED BY:
TWs form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ > c
Approvals for Destruction
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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
f-f/ i iI I ft, \S\ 5 f 1 ?,L, 21 nl
(-7 2-
3166 £-C.ie. A
- ifi Ob ?,£,.. TT
/13
9/4-7
.C. (Z,
nr
DATERECORD DESTRrJeTtOM--_D_MPLETED BY
CERTIFICATE OF DESTRUCTION?
SMEADLINK BARCODES DELETED BY:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _ > i
Approvals for Destruction
Department Head Date
Records Manager Date
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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
Ft* rt i n
n-i 36 -Si''-<-<- -3
0 In to --^5"04
Olv
RECORD DESTRUCTION COMPLETED BY :_
CERTIFICATE OF DESTRUCTION? Yes [Sf No [j
SMEADLINK BARCODES DELETED BY:
\(\\B S> DATE :
A M DATE: A/
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
ciisnAs
DOCUMENT MANAGEMENT
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CERTIFICATE OF DESTRUCTION
CONTACT: Tanya Bjork - Phone: (760)602-2786
SERVICE PERFORMED SVC'D ADD'L
Pounds
Minutes ..,
SERVICE TICKET #:
DATE:
CUSTOMER #:
SERVICE/TYPE:
NEXT SERVICE DATE:
NEXT SERVICE TYPE:
Lock(s) Present/Operable:
Clasp(s) Present/Operable:
3 - P-V
COMMENTS:$"300
OOG36 - 42136
04/28/2008
10284
Purge/Onsite
Not scheduled.
Not scheduled.
Yes
Yes
No
No
This certificate is to certify that Cintas Document Management will shred confidential data per customer's instructions and according to HIPAA & GLBA
regulations for the above-mentioned company. Mobile destruction services are NAID certified. Non-paper destruction services are not NAID certified.
CUSTOMER SIGNATURE: '"
SERVICE REP SIGNATURE:pirn h DATE:
DATE:
9455 WAPLES ST • STE. 110 • SAN DIEGO, CA 921213924 • Phone: (858)678-0460 • Fax: (858)678-0894