HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Information Technology; 2019-07-11RECORDS DESTRUCTION AUTHORIZATION FORM,
DATE: 4/17/2019 -----------
REQUESTING DEPARTMENT: IT REQUESTER: DOUG KAPPEL -------------------------
DESTRUCTION APPROVALS:
We certify that th~ds listed below have been retained for the scheduled retention period, required audits have been
completed, ond nD Ing o, ongoing //tlgatlan a, lnve<tlgatlon Involving thm ,eco,d; /; known to exl,t
D~ME;;; ~EAD:
41~~,1 {°) ~ 'f ti!, 44&.,v: '( :~2-/( ~
BOX NO. RECORDS DESCRIPTION DATED RRS NO.
1 ICDS REQUEST FOR PROPOSAL FEB 2014 0470-45
RRS
PERIOD
AU+4
TAB BARCODE
(if applicable)
N/A
*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.
RECORD DESTRUCTION COMPLETED BY: &vt)~
CERTIFICATE OF DESTRUCTION? J2( YES O NO
DATE:
SMEADSOFT BARCODES DELETED BY: _____ -______ _ DATE: _____ _
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
(cityof
Carlsbad Revised: 4/17/2019
CERTIFICATE OF DESTRUCTION & RECYCLING
This certificate is presented to: CITY OF CARLSBAD -RECORDS MANAGEMENT DIVISION
Per the express request of Client, Co,rodata 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
110465
Tuesday, July 16, 2019
5815 EL CAMINO REAL
Jul-11-2019 thru Jul-11-2019
601563
41 -41 Boxes for Destruction (standard}
• Nothing in this certificate shall be deemed to modify the terms ofthe parties' Service Agreement(s) or Work Ticket(s).
1:1corodata lfitSSAE16
Type II Audit Completed • HIP£ --