HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Records Management; 2015-04-09RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 9/5/2014
REQUESTING DEPARTMENT: RECORDS MANAGEMENT
DESTRUCTION APPROVALS:
REQUESTER: PAT DOWNIE
DEPARTMEIsi^HEAD DS MANAGEMENT DATE 7^ CITY ATTORNE DATE
NO. RECORDS DESCRIPTION
tiox Number 395 - Corodata »13067590 DATED RRS NO.
RRS
PERIO
D
TAB BARCODE
(if applicable)
1 BARBARA ALLEN 08/31/2005 0745-20 CL+5
2 ANGELS ARE FROM HEAVEN 10/19/2005 0745-20 CL+5
3 TERI ARENZ 05/31/2006 0745-20 CL+5
4 KATHRYN BANNISTER & CINDY
BRODERDORF 05/31/2006 0745-20 CL+5
5 SHERRI BEHAR 05/31/2006 0745-20 CL+5
6 RENATO BENIATTO & DENISE SPACINSKY 08/31/2005 0745-20 CL+5
7 LINDSAY BENNETT 09/30/2005 0745-20 CL+5
8 GLENN BERNARD 09/30/2005 0745-20 CL+5
9 MEGAN BESECKER 09/13/2005 0745-20 CL+5
10 BIO-HYDRATION RESEARCH LAB 10/18/2005 0745-20 CL+5
11 HENRIETTA BLACIC 08/28/2005 0745-20 CL+5
12 CLIFF BLASI 05/31/2006 0745-20 CL+5
13 TOM BOYD 02/28/2006 0745-20 CL+5
14 BRISTOL COVE PROPERTY OWNERS
ASSOCIATION 08/30/2006 0745-20 CL+5
15 BUDGET RENT A CAR-ROBERT MERTES 11/30/2005 0745-20 CL+5
16 ALEXIS BUITRON 05/31/2006 0745-20 CL+5
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
C O. Revised: 9/5/2014
CARLSBAD
17 C. SAN DIEGUITO WATER DISTRICT 08/23/2005 0745-20 CL+5
18 MICHAEL CAIN 05/31/2006 0745-20 CL+5
19 ALDON COLBY 05/31/2005 0745-20 CL+5
20 CHRISTY COOMBATIS 08/23/2005 0745-20 CL+5
21 KEVIN COON 09/30/2005 0745-20 CL+5
22 JAMES DANKO 03/31/2006 0745-20 CL+5
23 JAMES DENNESON 05/31/2006 0745-20 CL+5
24 GARETTDILANDRI 08/31/2005 0745-20 CL+5
25 JOSEPH DILLON 08/31/2005 0745-20 CL+5
26 KRISTEN M. DINEEN 10/19/2005 0745-20 CL+5
27 ROBERT DIPLOCK 05/31/2005 0745-20 CL+5
28 LESLIE DORNICK AS GUARDIAN OF JAKE
DORNICK
12/30/2005 0745-20 CL+5
29 ANGELA EGUIGUREN & VICENTE
EGUIGUREN 10/25/2006 0745-20 CL+5
30 KRISTINA ENDO 05/24/2005 0745-20 CL+5
31 STEVEN FIEDLER 05/31/2006 0745-20 CL+5
32 FLOWER FIELDS, LLC 09/21/2005 0745-20 CL+5
33 ESTHER FRENCH 05/30/2006 0745-20 CL+5
34 ZO ILA GAM BO A 04/05/2006 0745-20 CL+5
35 GEICO (TIM PRATT) AS SUBROGEE FOR
ROGELIO A OJEDA 03/21/2006 0745-20 CL+5
36 MICHAEL & LARA GIBBS 05/31/2006 0745-20 CL+5
37 ABRAHAM GILL 08/17/2005 0745-20 CL+5
38 RUBEN GONZALEZ 06/07/2005 0745-20 CL+5
39 JOSEPH GORAK 05/31/2006 0745-20 CL+5
40 PAULA GRAFF/WILLIAM GRAFF 05/31/2006 0745-20 CL+5
41 JOHN & CATHY HJELT 10/31/2005 0745-20 CL+5
42 ARSO IVANOVICH 12/30/2005 0745-20 CL+5
43 ARSO IVANOVICH 12/30/2005 0745-20 CL+5
44 TOBY & BRIAN JORDAN 09/30/2005 0745-20 CL+5
45 ELIZABETH KENT 09/30/2005 0745-20 CL+5
46 TROY KINTO 05/31/2006 0745-20 CL+5
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
^ ,,, ,, Revised: 9/5/2014
'^^ CARLSBAD
47 KEVIN KIRKENDALL 05/31/2006 0745-20 CL+5
48 KOBO 07/07/2005 0745-20 CL+5
49 M. LAWRENCE KOPP 07/11/2005 0745-20 CL+5
50 GREGORY KOVSKY 03/07/2005 0745-20 CL+5
51 DANIEL KYLE 05/31/2006 0745-20 CL+5
52 LA CASA DEL SOL HOA 01/31/2006 0745-20 CL+5
53 LA COSTA DE MARBELLA HOA 05/31/2006 0745-20 CL+5
54 LA COSTA DE MARBELLA HOMEOWNERS
CORPORATION 10/31/2006 0745-20 CL+5
55 LAGUNA TERRACE HOA 02/28/2005 0745-20 CL+5
56 WILUAM LAMP HEAR 09/27/2005 0745-20 CL+5
57 KENNETH LAWRENSON 07/28/2005 0745-20 CL+5
58 BERTHA MICHELE LEVY 09/30/2005 0745-20 CL+5
59 JASON LEWIS 05/31/2006 0745-20 CL+5
60 VICTORIA LOLI 03/31/2006 0745-20 CL+5
61 CHRIS LOUGHRAN 05/13/2005 0745-20 CL+5
62 SHARI LUKAS 10/31/2005 0745-20 CL+5
63 MARJA ACRES 08/31/2005 0745-20 CL+5
64 JACQUELYN MASON 08/31/2005 0745-20 CL+5
65 AUDREY D. McCOMAS 07/12/2005 0745-20 CL+5
66 MERCURY INSURANCE COMPANY 04/18/2005 0745-20 CL+5
67 ROBERT MERTES 11/30/2005 0745-20 CL+5
68 RONALD MONTGOMERY 03/08/2005 0745-20 CL+5
69 MINEKO MORENO 01/31/2006 0745-20 CL+5
70 RYAN MOURITZEN 05/31/2006 0745-20 CL+5
71 TERESA MURRELL 08/29/2005 0745-20 CL+5
72 CONNIE NAKAJI 11/30/2005 0745-20 CL+5
73 NORMAN NASH 08/31/2005 0745-20 CL+5
74 TIFFANY ALLEYN NASTASE 11/17/2006 0745-20 CL+5
75 FERESHTEH NAZARI 04/04/2006 0745-20 CL+5
76 STEPHEN NEVILLE 05/31/2006 0745-20 CL+5
77 ANDREW-HUY ANH NGUYEN 06/30/2006 0745-20 CL+5
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
CARLSBAID Revised: 9/5/2014
78 TANIA NICHOLAS 05/31/2006 0745-20 CL+5
79 JEFF NIEMI 08/31/2005 0745-20 CL+5
80 BOBOBENBERGER 08/31/2005 0745-20 CL+5
81 WILLIAM D. O'DONOGHUE 11/30/2005 0745-20 CL+5
82 LESTER OLSON 12/30/2005 0745-20 CL+5
83 APRIL PARKS 05/31/2006 0745-20 CL+5
84 EDNA PECK 06/28/2005 0745-20 CL+5
85 MARY PEDDY 03/31/2006 0745-20 CL+5
86 CHARLES PEDROTTA 05/31/2006 0745-20 CL+5
87 PELICAN COVE INN B&B 12/30/2005 0745-20 CL+5
88 LIONEL POINCENOT 04/28/2006 0745-20 CL+5
89 JEFFRY POWERS 01/31/2006 0745-20 CL+5
90 RANCHO CARLSBAD OWNER'S
ASSOCIATION INC 09/30/2005 0745-20 CL+5
91 MILTON REITER 03/01/2006 0745-20 CL+5
92 CAITLYN SUE ROBERTS 08/30/2006 0745-20 CL+5
93 ROBINSON & AUSTIN 05/31/2006 0745-20 CL+5
94 KIFA ROSS 11/30/2005 0745-20 CL+5
95 CHRISTINE SAFARIK 05/31/2006 0745-20 CL+5
96 ERNESTJ.SALAZAR 03/28/2005 0745-20 CL+5
97 DAVID SALISBURY 11/15/2005 0745-20 CL+5
98 JOEL SALTZ & GAYLE SALTZ 12/30/2005 0745-20 CL+5
99 KARL SCHAEFFER 05/31/2006 0745-20 CL+5
100 SAIHETVAKOLI 05/31/2006 0745-20 CL+5
101 ELLE THEOTILOPOULOS 05/31/2006 0745-20 CL+5
102 BRUCE THOMAS 05/31/2006 0745-20 CL+5
103 BRUCE THOMAS 04/28/2006 0745-20 CL+5
104 BRUCE THOMAS 11/30/2005 0745-20 CL+5
105 SCOTT THOROGOOD 12/30/2005 0745-20 CL+5
106 JEROME TIMMONS 05/31/2006 0745-20 CL+5
107 USAA, CRESCINI 07/18/2005 0745-20 CL+5
108 KELLY VAN SITTERT 08/29/2005 0745-20 CL+5
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
t Revised: 9/5/2014
"^CARLSBAD
109 JOSEPH C.VIOLI 08/31/2005 0745-20 CL+5
110 VIRGINIA WALTERS 05/31/2006 0745-20 CL+5
111 WAWANESA INSURANCE 11/17/2006 0745-20 CL+5
112 HELENESHEEHAN 05/31/2006 0745-20 CL+5
113 ERICSHIPPEN 05/31/2006 0745-20 CL+5
114 DONALD SIELAFF 08/31/2005 0745-20 CL+5
115 DONALD SILLIPHANT, JR. 10/31/2005 0745-20 CL+5
116 ERNEST STANDING 02/28/2006 0745-20 CL+5
117 STATE FARM 08/23/2005 0745-20 CL+5
118 DEBORAH STEVENSON 07/12/2005 0745-20 CL+5
119 JAN & ROSEANNA STOVALL 09/30/2005 0745-20 CL+5
120 JUDY ANN STRAUS 09/27/2005 0745-20 CL+5
121 ROBERT MICHAEL STRONG 05/31/2006 0745-20 CL+5
122 ROD SWARTWOOD 03/31/2006 0745-20 CL+5
123 JOHNSYNESlOU 02/28/2006 0745-20 CL+5
124 CHARLES TAMAGNI 10/31/2005 0745-20 CL+5
125 M CAH WEBBER 10/19/2005 0745-20 CL+5
126 ROBERT WHITEHEAD 05/31/2006 0745-20 CL+5
127 JEFFREY WILSON 05/31/2006 0745-20 CL+5
128 WIR HOLDINGS LLLC 05/31/2006 0745-20 CL+5
129 ZIMMER DENTAL 01/31/2006 0745-20 CL+5
130 AAA-CAITLYN ROBERTS 08/30/2006 0745-20 CL+5
131 KEITH ANDERSON 10/26/2006 0745-20 CL+5
132 TERI ARENZ 11/30/2006 0745-20 CL+5
133 AT&T 06/09/2006 0745-20 CL+5
134 MILANO ATANASOVSKI DBA LA COSTA
TOWING 03/31/2006 0745-20 CL+5
135 MATTA &. THERESA AYOUB 11/30/2006 0745-20 CL+5
136 BANNISTER & BRODERDORF 11/30/2006 0745-20 CL+5
137 SHERRI BEHAR 11/30/2006 0745-20 CL+5
138 BLASI, CLIFF 11/30/2006 0745-20 CL+5
139 KATHERINE BLOOM 10/31/2006 0745-20 CL+5
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
CARLSBAID Revised: 9/5/2014
140 PAUL BJORSTROM & MARISSA NOEL
MATTA 11/07/2006 0745-20 CL+5
141 TODD BREEDING 11/30/2006 0745-20 CL+5
142 BRINDISI AT AVIARA 03/06/2006 0745-20 CL+5
143 IAN BROOKS 08/30/2006 0745-20 CL+5
144 MICHELE CAIN 11/30/2006 0745-20 CL+5
145 DEREK CARAVAMTES 10/31/2006 0745-20 CL+5
146 ROSA CHAVEZ 10/17/2006 0745-20 CL+5
147 LISA & MARCUS BOHRER 07/31/2006 0745-20 CL+5
148 CHRISTINE CHRYSSOVERGIS 11/30/2006 0745-20 CL+5
149 ROBERT CHAVIRA/SARAH ANARAKI 10/31/2006 0745-20 CL+5
150 PATRICIA CLASS 10/31/2006 0745-20 CL+5
151 EVA DIAZ 11/30/2006 0745-20 CL+5
152 ROBERT DIPLOCK 11/30/2006 0745-20 CL+5
153 CHRISTOPHER DOBEK 02/28/2006 0745-20 CL+5
154 PAULA DUNN 11/30/2006 0745-20 CL+5
155 DEPARTMENT OF THE NAVY 03/17/2006 0745-20 CL+5
156 FARMERS/ROTHSCHILD 08/30/2006 0745-20 CL+5
157 STEVEN FIEDLER 11/30/2006 0745-20 CL+5
158 JEFF AND TINE FOUDY 11/30/2006 0745-20 CL+5
159 DAZIELGASPARIAN 10/31/2006 0745-20 CL+5
160 MICHAEL & LARA GIBBS 11/30/2006 0745-20 CL+5
161 JOSEPH GORAK 11/30/2006 0745-20 CL+5
162 TORPAKAI HARARI & ATA HARARI 11/30/2006 0745-20 CL+5
163 HERTZ CORPORATION 12/19/2006 0745-20 CL+5
164 SANDRA HOLLINS 12/29/2006 0745-20 CL+5
165 CANDICE HOLMLUND 08/30/2006 0745-20 CL+5
166 SHARON KEITH 05/31/2006 0745-20 CL+5
167 KEN GRODY FORD 10/17/2006 0745-20 CL+5
168 JOHN KENNEDY & YOLANDA KENNEDY 11/30/2006 0745-20 CL+5
169 JOHN KING 04/05/2006 0745-20 CL+5
170 ELISA KOPP 11/30/2006 0745-20 CL+5
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
t , ,o. Revised: 9/5/2014
^ CARLSBAD
171 LAWRENCE KOPP 11/30/2006 0745-20 CL+5
172 DANIEL KYLE 05/31/2006 0745-20 CL+5
173 DANIEL KYLE & ELIZABETH HENESSY KYLE 11/30/2006 0745-20 CL+5
174 LA COSTA DE MARBELLA 11/30/2006 0745-20 CL+5
175 BEVERLEY LABANI 11/30/2006 0745-20 CL+5
176 JASON LEWIS 05/31/2006 0745-20 CL+5
177 KIMBERLEE MCBRIDE 08/30/2006 0745-20 CL+5
178 SUZIE MILLS 09/29/2006 0745-20 CL+5
179 BETTY MOLNAR 11/30/2006 0745-20 CL+5
180 STEPEHEN NEVILLE 11/30/2006 0745-20 CL+5
181 RYAN MOURITZEN 11/30/2006 0745-20 CL+5
182 TOM & UND MURDOCK 07/31/2006 0745-20 CL+5
183 TANIA NICHOLAS 11/30/2006 0745-20 CL+5
184 GREGORY ORTH 08/30/2006 0745-20 CL+5
185 APRIL PARKS 11/30/2006 0745-20 CL+5
186 RONDA SMITH PINNOW 12/29/2006 0745-20 CL+5
187 SCHUMACHERS FORD 05/23/2006 0745-20 CL+5
188 GRACE SOMMERVILLED 10/31/2006 0745-20 CL+5
189 JORGE SOTO 12/29/2006 0745-20 CL+5
190 ROSS E. SPECK 09/31/2006 0745-20 CL+5
191 BONNIE STEINHAUER 11/30/2006 0745-20 CL+5
192 ROBERT SULLIVAN & KATHLEEN SULUVAN 06/20/2006 0745-20 CL+5
193 STEPHEN TATE 10/31/2006 0745-20 CL+5
194 SABIHETAVAKOU 11/30/2006 0745-20 CL+5
195 UNDATILLOTSON 11/30/2006 0745-20 CL+5
196 HONG TRAN 09/29/2006 0745-20 CL+5
197 MARIAN ULDRICKS 11/30/2006 0745-20 CL+5
198 USAA AS SUBROGEE FOR WILUS GRAY 12/29/2006 0745-20 CL+5
199 VAN DE WIEL 11/07/2006 0745-20 CL+5
200 JAMES VERESPEJ 10/31/2006 0745-20 CL+5
201 VIRGINIA WALTERS 11/30/2006 0745-20 CL+5
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
^ . Revised: 9/5/2014
^ CARLSBAD
202 AUDREY WATSON 05/31/2006 0745-20 CL+5
203 BUFORD WELLS 11/30/2006 0745-20 CL+5
204 ROBERT AND THERESA WHITEHEAD 11/30/2006 0745-20 CL+5
205 RENEE WILLIAMS 09/25/2006 0745-20 CL+5
206 STACY WRIGHT 12/29/2006 0745-20 CL+5
207 BEIHUA ZHANG 12/29/2006 0745-20 CL+5
208 MORGAN RHEAD 04/24/2006 0745-20 CL+5
Box Number 395 - Corodata U13067590
*lf 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.
Jo be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
TAB BARCODES DELETED BY:
Ef YES • NO
DATE:
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 9/5/2014 CARLSBAD
Shred-it
3801 Ocean Ranch Blvd
Suite 101
Oceanside CA
92056
Phone: 760- 598- 5700
SERVICE RECORD SUMMARY
CERTIFICATE OF DESTRUCTION
PLEASE KEEP THIS FOR YOUR RECORDS
(THIS IS NOT AN INVOICE)
Customer: 0013185878
CITY OF CARLSBAD
5816 EL CAMINO REAL
CARLSBAD CA 92008- 8816
Order #: 8015065327
Order Date: 04.09.2015
Service Type: ON- SITE PURGE
Contact: PAT DOWNIE
Time In: 07:30 AM
Material Collected
BANKERS/ARCHIVE BOX 163
LARGE ARCHIVE BOX 7
Total: 170
Customer Signature: PAT
CSR Signature: BRIAN SHEPLEY
Shred- it is committed to the secure destruction of its customers'
confidential information. This certification will affirm that
Shred- it destroys the customer confidential material, pursuant to
our customers request and instructions.
The following services are NAID certified:
Hard Drive Destruction
Mobile Destruction
The following services are not NAID certified:
Offsite Destruction
Non- Paper Destruction