HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Finance; 2017-07-11RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 06/22/2017
REQUESTING DEPARTMENT: ASD -FINANCE REQUESTER: BRIDGET DESMARAIS
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention perio:...:.d, .... r_e _....:
completed, and no pending or ongoing litigation or investigation involving these records is mo ~~~ •
DEPARTMENT HEAD: RECORDS MANAGEMENT: ORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE
(if applicable)
;l / 2 DEFERRED COMP. 1988-2005 0455-10 TE+ 5 N/A
1 SAN DIEGO TAX TRANSFERS 1998, 1999, 2001, 0480-90 2 N/A
II~ 2002,2006
/x. 'vP y 1 SENIOR NUTRITION GRANT 1997-98 0480-47 CL+ 5 N/A
'/ 1 CDBG 1995-1997 0480-48 CL+ 4 N/A
3 ANNUAL STATE CONTROLLERS 1999-2001 0460-10 5 YRS N/A REPORTS
4 STATE CONTROLLERS REPORTS 2003-2006 0460-10 5 YRS. N/A
*If more spaces ore needed, click in the lost 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. /1'_,
RECORD DESTRUCTION COMPLETED BY: GvftJdlf,11L-DATE: 7 /11 /,,io 17
CERTIFICATE OF DESTRUCTION? (gj YES O NO
SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
s,<i' «" o, Revised: 6/22/2017
w CARLSBAD
CERTIFICATE OF DESTRUCTION & RECYCLING
This certificate is presented to: CITY OF CARLSBAD
Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then
recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not
inventory, record or track any information contained within or related to the Material.
Account #(s)
Certificate #
Date Issued
Service Locations
Date Range of Service
Work Ticket(s)
Quantity/Item
SD012455
107028
Tuesday, July 11, 2017
5815 EL CAMINO REAL
Jul-11-2017 thru Jul-11-2017
409502
• Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s).
[•Jcorodata 'f/SSAE 16
Type II Audit Completed HIP£