HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Council; 2015-04-09RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: JAN. 5,2015
REQUESTING DEPARTMENT: CITY COUNCIL REQUESTER: ANDREA DYKES
DESTRUCTION APPROVALS:
>EPARTMENT HEAD: ECORDS MANAGEMENT:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(ifapplicable)
CC oq^5 Council Calendar 2012 2 years N/A
Chron Files-Andi Dykes 2012 010003 2 years
Misc. Correspondence Jan-June 2012 010003 2 years
Misc. Correspondence July-Dec 2012 010003 2 years
Chron Files External Mayor Hall 2012 010003 2 years
Chron Files Internal Mayor Hall 2012 010003 2 years
Chron Files Mark Packard 2012 010003 2 years
Chron Files Keith Blackburn 2012 010003 2 years
Chron Files Farrah Douglas 2012 010003 2 years
Chron Files Ann Kulchin 2012 010003 2 years
Proclamations 2012 010003 2 years
* 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.
Jo be filled c ut once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY: _
|3 YES • NO
DATE:_^^±f^6
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
^ Revised: 1/2/2015
>^ 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