HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2014-01-21mmma mammmmmsmsmii
RECORDS DESTRUCTION AUTHORIZATION FORM
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DATE:
REQUESTING DEPARTMENT: fpLidB Ixves, t, 6/} //^Rf Q"ESTER: /f/^r/ay S/j-^/zes
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, penujr0^.xni4its have been
completed, and no pending or ongoing litigation or investigation involving these records is krpwnZp exist.
DEPARTMENT HEAD RECORDS MANAGEMENT:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
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/A//;-
/X/3//lf
^=?yA!S z-
O^Of/ JUS /J?.3 FOR.MS /3^f3(7tf Dlo7-. 7i/i^s -1-
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*// 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:
CERTIFICATE OF DESTRUCTION? HH YES
SMEADSOFT BARCODES DELETED BY:
1^ YES XI NO
DATE: ML
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 1/15/2014
^ CARLSBAD