HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Library & Cultural Arts; 2020-11-05RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 10/01/2020 �----------
REQUESTING
DEPARTMENT: LIBRARY & CULTURAL ARTS
DESTRUCTION APPROVALS:
REQUESTER: CARRIE SCOTT
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.
CITY ATTORNEY: DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
LIBRARY VOLUNTEERS 2011-0860-80 CL+3 1)5 boxe--
n.u .re» 10/w/� :::lo
2016
*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: __________ _
CERTIFICATE OF DESTRUCTION? DYES D NO
SMEADSOFT BARCODES DELETED BY: ------------�DATE: _____ _
This farm documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
(city orCarlsbad Revised: 10/5/2020
11-02-2020
LIB-070
11/3/2020C2l11 ,~ fM,Wf& WwtM,, 1° / tti/~lb/Ja± D~~ 01~, ARTMENT flEAD: DATE RECORDS MANAGEMENT: DATE
V ---
DATE: ____ _ Corodata 11/05/2020
x
N/A
Account #(s)SD012455
Certificate #116795
Date Issued Friday, November 06, 2020
Service Locations 5815 EL CAMINO REAL
Date Range of Service Nov-05-2020 thru Nov-05-2020
Work Ticket(s)753380
Quantity/Item
6 -6 Boxes for Destruction (large)
10 -10 Boxes for Destruction (odd sized)
37 -50 Boxes for Destruction (standard)
* Nothing in this certificate shall be deemed to modify the terms of the parties¶Service Agreement(s) or Work Ticket(s).
CERTIFICATE OF DESTRUCTION & RECYCLING
This Certificate is presented to: CITY OF CARLSBAD - RECORDS MANAGEMENT DIVISION
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.
E•Jcorodata SSAE16
Type II Audit Completed HIPA'A