HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2013-01-16 (3)^ CARLSBAD
CITY OF Records Management
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RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION:
Person(s) Completing Form:
APPROVALS FOR DESTRUCTION
/KL(
Date
L2.
Date
Jly ALlOfiiey 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=HOLD
/box RO/O
Jus 3 - S^a o^/hliM'h %fs
Jo be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
• NO
DATE: /r^//^//^
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009