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RECORDS DESTRUCTION AUTHORIZATION FORM
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DATE: 10/31/2016
REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: PENNY McKAY -------------------------
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
mm~ongo;ng Ut;got;on~ thm <em,do ;, known to ex;ot ------
DEPARTMENT HEAD: RECORDS MANAGEMENT: ~NEY:
RECORDS DESCRIPTION DATED RRS NO.
_(\) RECRUITMENT -IT DIRECTOR 2006 0850-25
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ~~
CERTIFICATE OF DESTRUCTION? Q;]AfEs D NO
SMEADSOFT BARCODES DELETED BY: ______ -______ _
RRS
PERIOD
CL+3
SMEADSOFT BARCODE
(if applicable)
DATE:
DATE: ______ _
«~,, "" 01 .
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
~CARLSBAD Revised: 10/31/2016
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
105297
Tuesday, January 03, 2017
5815 EL CAMINO REAL
Jan-03-2017 thru Jan-03-2017
359769
*Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s).
E·Jcorodata SSAE 16
T)'Fe II .O..udit Com~leted HIPA\l\