HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Finance; 2008-04-28Exhibit C - Onsite Records Destruction Form F005
City Clerk/Records Management
Pagel of 2
ONSI
Approved for Destruction
E RECORDS DESTRUCTION REQUEST
•3/V/Q &
Department Head
f
Date
City Records Manager Date
City Attorney
Total of records approved for destruction:
Date
<?\ 0
NOTE ; City records on "Hold" cannot be destroyed.
This form documents the destruction of City records in accordance with the California Public Records Act
We certify that the records listed below have been retained for the scheduled retention period, required audits
have been completed, and no pending or ongoing litigation or investigation involving these records is known
to exist.
This form documents the destruction of City records in accordance with the California Public Records Act.
Request by Originating Department:
Finance
Requested Date:
2/4/2008
Originating Department Manager Initials:
Person's Completing Form: Marie Ashe-Nutter
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE PD
F
APPROVED By
City Attorney
H=HOLD
PAYROLL 1989-1991 0450-20 AU+6
FINANCIAL STATEMENTS ; BUDGET & CIP
CONVERSION (1/1/89); MONTHLY WATER
REPORTS
1982-1983 CO* a
JOB COSTS;GENERAL LEDGER 1984-1988 0400- 0-5 CU+2
CMWD BOX ; GENERAL 1986-1987 0400- o'&CU+2 £74154365"
CMWD BOX ; GENERAL 1988-1989 0400- OS"CU+2 -274+54363-
CMWD BOX ; GENERAL 1989-1990 0400-05 CU+2
PAYROLL 1985-1986 0450-20 AU+6
CMWD BOX ; GENERAL 1987-1991 0400-05 CU+2 •£•74154359-
CMWD BOX; GENERAL 1987-1988 0400-05 CU+2 O"7/l ^ CvlOCO
10 PAYROLL 1986-1991 10 0450-20 AU+6
11 COP STATEMENT 1988-1987 11 0400-05 CU+2
12 STATUS REPORT; G/L POSTING, GENERAL 1988-1987 12 0400-05 CU+2
13 CMWD BOX; GENERAL 1990-1991 13 0400-05 CU+2 2-74154364'
City Clerk/Records Management
Page 2 of 2
This form documents the destruction of City records in accordance with the California Public Records Act.
Request by Originating Department:
Finance
Requested Date:
2/4/2008
Person's Completing Form: Marie Ashe-Nutter
No.
14
15
16
17
18
19
20
RECORDS DESCRIPTION
PAYROLL
SEWER CONNECTIONS
CMWD BOX; GENERAL
PAYROLL
CMWD BOX; GENERAL
PAYROLL
PARKING CITATIONS
DATED
7/98 - 9/90
1978-1989
1990-1992
1982-1984
1986-
1991
1980-1984
1997-2004
BOX
No.
14
15
16
18
19
21
24
Originating Department Manager Initials:
RRS No.
0450-20
0400-05
0400-05
0450-20
0400-05
0450-20
0670-63
RRS
Period
AU+6
CU+2
CU+2
AU+6
CU+2
AU+6
CU+2
BARCODE PD
F
APPROVED By
City Attorney
H=HOLD
DOCUMENT DESTRUCTION PROVIDED BY :
0130-25/F005
DATE : CM/95/ ^O-^
CERTIFICATE OF DESTRUCTION? Yes &C No D
Exhibit C - Onsite Records Destruction Form F005
City Clerk/Records Management
Pagel of 2
Appro^
Tot
ONSITE RECORDS DESTRUCTION REQUEST
PV-S-.. r/ /-^ I j— •* &/ s~)<3l//"}~7red for Destruction <=^=- O/^CJ /
Department Head
^nA^C^k^JuJl
AflfCity Records Manager
City Attorney
al of records approved for destruction:1 ,bo«S
Date
?-3o-er7
Date
4-H ^o>.
Date
NOTE : City records on "Hold" cannot be destroyed.
This form documents the destruction of City records in accordance with the California Public Records Act
We certify that the records listed below have been retained for the scheduled retention period, required audits
have been completed, and no pending or ongoing litigation or investigation involving these records is known
to exist.
This form documents the destruction of City records in accordance with the California Public Records Act.
Request by Originating Department:
Finance rt\OrJ< rfeh^
Requested Date:
7/9/07
Person's Completing Form: Marie Ashe
No.
1
2
3
4
5
6
7
RECORDS DESCRIPTION
Purchase Orders 1 1745 - P104138
Purchase Orders P106097 - P105749
Purchase Orders P1 05756 - P1 06589
Purchase Orders P1 06478 - P1 06965
Purchase Orders P1 06966 - P1 07342
Purchase Orders P1 07327 P108124
Purchase Orders P108126 - P1 08800
DATED
2/15/91 -
12/30/97
1/1/98-
12/30/98
1/4/99-
6/30/99
7/1/99-
9/27/99
9/27/99 -
12/30/99
1/10/00-
6/26/00
6/26/00 -
11/15/00
BOX
No.
1
2
3
4
5
6
7
Originaftaq Department Manager Initials:<gej .
RRS No.
0470-25
0470-25
0470-25
0470-25
0470-25
0470-25
0^70-35
RRS
Period
AU+4
AU + 4
AU + 4
AU + 4
AU+4
AU + 4
AU + 4
Barcode
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Storage
In
house
In
house
In
house
In
house
In
house
In
house
In
house
APPROVED
By City
Attorney
H=HOLD
City Clerk/Records Management
Page 2 of 2
This form documents the destruction of City records in accordance with the California Public Records Act.
Request by Originating Department:
Finance
Requested Date:
7/9/07
Person's Completing Form: Marie Ashe
No.RECORDS DESCRIPTION DATED BOX
No.
Originating Department Manager Initials:
RRSNo.RRS
Period
Barcode Storage APPROVED
By City
Attorney
H=HOLD
DOCUMENT DESTRUCTION PROVIDED BY ;
0130-25/F005
DATE :
CERTIFICATE OF DESTRUCTION? Yes No
ciNiAs
DOCUMENT MANAGEMENT
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CONTACT: Tanya Bjork - Phone: (760)602-2786
SERVICE PERFORMED
Pounds
Minutes
SVC ' D ADD ' L
n
| 3
COMMENTS:
CERTIFICATE OF DESTRUCTION
SERVICE TICKET #:
DATE:
CUSTOMER #:
SERVICE/TYPE:
NEXT SERVICE DATE:
NEXT SERVICE TYPE:
Lock(s) Present/Operable:
Clasp(s) Present/Operable:
OOG36 - 42136
04/28/2008
10284
Purge/Onsite
Not scheduled.
Not scheduled.
Yes
Yes
No
No
This certificate is to certify that Cintas Document Management will shred confidential data per customer's instructions and according to HIPAA & GLBA
regulations for the above-mentioned company. Mobile destruction services are NAID certified. Non-paper destruction services are notNAID certified.
CUSTOMER SIGNATURE:
SERVICE REP SIGNATURE:HMD
DATE:
DATE:
9455 WAPLES ST • STE. 110 • SAN DIEGO, CA 921213924 • Phone: (858)678-0460 • Fax: (858)678-0894