HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Library & Cultural Arts; 2015-04-09 (2)RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 3/4/2013
REQUESTING DEPARTMENT: LIBRARY & CULTURAL ARTS REQUESTER: CISSIE SEXTON
DESTRuaiON APPROVALS:
We certify that the records listed belo w have been retained for the scheduled retention period, required audits hove been
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
1
DEPARTMENT HEAD: ^^^^RDS IVIANAGEMENT: CITYATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
(ifapplicable)
U801Z -Part-time recruitment files and
application forms (2 boxes) 2011 0850-25 CL+3
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
!3 YES • NO
DATE
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
,, „ Revised: 3/4/2013
^ 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