HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Clerk; 2024-06-13 (2)
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 1
DATE: 02/29/2024
REQUESTING DEPARTMENT: CITY CLERK REQUESTER: MARIA EMERY
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 table and hit “tab”. This will create more fields in the table.
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
Economic Interest Filings (FPPC 700 Series Forms - Statement of Economic Interests): ALL
1975-2012 CC-075 7 YEARS SEE ATTACHED
RECORDS DESTRUCTION AUTHORIZATION FORM
3-4-2024 03-04-2024 3/26/24
CORODATA 6/13/2024
6/13/2024
C cityof
Carlsbad
□ □
RECORDS DESTRUCTION REPORT
Maria Emery
DATE: 2/29/2024
TOTAL RECORD COUNT: 12
COMMENTS: STATEMENTS OF ECONOMIC INTEREST (1975-2012)
ENTRY ID REVIEW DATE Template NAME
4369324 2024/02/29 Physical Folder CASLER, MARY; STATEMENT OF ECONOMIC INTEREST;
ELECTED; 1975-1986
4369320 2024/02/29 Physical Folder CHICK, RICHARD; STATEMENT OF ECONOMIC
INTEREST; ELECTED; 1986
4368769 2024/02/29 Physical Folder COMSTOCK, JIM; STATEMENT OF ECOCONOMIC
INTEREST; ; 2010
4369319 2024/02/29 Physical Folder ESTERLINE, WILLIAM; STATEMENT OF ECONOMIC
INTEREST; ELECTED; 1983-1991
4369897 2024/02/29 Physical Folder KULCHIN, ANN; STATEMENT OF ECONOMIC INTEREST;
ELECTED; 1980-2012
4369314 2024/02/29 Physical Folder LARSON, ERIC; STATEMENT OF ECONOMIC INTEREST;
ELECTED; 1992
4369894 2024/02/29 Physical Folder LEWIS, CLAUDE; STATEMENT OF ECONOMIC INTEREST;
ELECTED; 1975-2010
4369312 2024/02/29 Physical Folder MAMAUX, JOHN; STATEMENT OF ECONOMIC
INTEREST; ELECTED; 1990
4369038 2024/02/29 Physical Folder MCSHERRY, HAROLD; Statements of Economic Interest;
; 2006
4369306 2024/02/29 Physical Folder PETTINE, MARK; STATEMENT OF ECONOMIC INTEREST;
ELECTED; 1990
4369305 2024/02/29 Physical Folder PRESCOTT, ROBERT; STATEMENT OF ECONOMIC
INTEREST; ELECTED; 1984
4369303 2024/02/29 Physical Folder RICE, FRANK; STATEMENT OF ECONOMIC INTEREST;
ELECTED; 1983
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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 #104470
Date Issued Tuesday, June 18, 2024
Service Locations 5815 EL CAMINO REAL
Date Range of Service Jun-13-2024 thru Jun-13-2024
Work Ticket(s)1331793
Quantity/Item 2 -2 Boxes for Destruction (odd sized)
44 -44 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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