HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Finance; 2017-07-11 (3)r l
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 06/12/2017
REQUESTING DEPARTMENT: ASD-FINANCE REQUESTER: BRIDGET DESMARAIS
DESTRUCTION APPROVALS:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
. PERIOD (if applicable)
v;oi r;.t~ · 1212 ACCOUNTS PAYABLE SEEATIACHED 0400-40 AU +5
" ~ 433959064-433959069 ACCOUNTS PAYABLE SEEATIACHED 0400-40 AU +5
ACCOUNTS PAYABLE SEEATIACHED 0400-40 AU+ 5 442033926-442033938
442033940-442033941 ACCOUNTS PAYABLE SEEATIACHED 0400-40 AU+ 5
442033943-442033960 ACCOUNTS PAYABLE SEE' ATIACHED 0400-40 AU +5
374483953 ACCOUNTS PAYABLE SEEATIACHED 0400-40 AU +5
306858807 ACCOUNTS PAYABLE SEEATIACHED 0400-40 AU +5
ACCOUNTS PAYABLE SEEATIACHED 0400-40 AU +5 374483954
ACCOUNTS PAYABLE SEEATIACHED 0400-40 AU +5 259384
*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.
To be filled out once records have been destroyed. t!6rtJ ~ ,_L. ,
RECORD DESTRUCTION COMPLETED BY: ____ u._.A.r_A-/ ____ _ DATE:
CERTIFICATE OF DESTRUCTION? l8'J YES 0 NO
SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
<--<fl>-'> con a , Revised: 6/12/2017 ~ CARLSBAD
l '
1B0x Number Barcode Major Description
1212 437554036 ACCOUNTS PAYABLE
259384 SAN01950713
306858807 306858807
374483953 SAN01950804 AP CHECKS VARIETY OF
374483954 SAN01950805 HARMONY GROVE DISASTER
433959064 SAN01336455
433959065 SAN01336456
433959066 SAN01336457
433959067 SAN01336458
433959068 SAN01336459
433959069 SAN01336460
442033926 SAN01253714
442033927 SAN01253715
442033928 SAN01253716
442033929 SAN01253717
442033930 SAN01253718
442033931 SAN01253719
442033932 SAN01253720
442033933 SAN01253721
442033934 SAN01253722
442033935 SAN01253723
442033936 SAN01253724
442033937 SAN01253725
442033938 SAN01253726
442033940 SAN01253728
442033941 SAN01253729
442033943 SAN01253731
442033944 SAN01253732
442033945 SAN01253733
442033946 SAN01253734
442033947 SAN01253735
442033948 SAN01253736
442033949 SAN01253737
442033950 SAN01253738
442033951 SAN01253739
442033952 SAN01253740
442033953 SAN01253741
442033954 SAN01253742
442033955 SAN01253743
442033956 SAN01253744
442033957 SAN01253745
442033958 SAN01253746
442033959 SAN01253747
442033960 SAN01253748
From
AP00137753-AP00138054
DATES
FILES
1 To j
12/15/2005
07/13/1995
10/01/1996
05/04/2000
04/27/2000
05/25/2000
10/16/2000
01/06/2000
01/19/2000
08/31/2000
04/20/2000
04/06/2000
05/18/2000
05/30/2000
10/14/1999
06/30/2000
06/29/2000
06/22/2000
03/30/2000
03/16/2000
06/07/2000
01/28/2000
03/09/2000
03/02/2000
02/18/2000
09/20/2000
09/20/2000
08/01/2000
09/29/2000
08/24/2000
11/04/1999
09/06/2000
08/17/2000
07/20/2000
07/27/2000
10/25/2000
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).
E-Jcorodata SSAE16
Type II Audit Completed HIPAt\