HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2016-06-30Reconos DEsrRUcnoN AurHoRtzATtoN Fonvt
DRre: 3-2L-LG
Reeursrrrue Pnnrs & Rrc
Drpenrurrur: (Hanotrue )
RrQuesrrnt M,arr,-rHnnov
Drsrnucnoru Appnovas:
We certify thatthe records listed below have been retained forthe scheduled retention period, required audits have been
completed, and no pending or ongoing litigotian or investigotion involving these records is known to e_
Reconos Mnuaeruerur:
This form documents the destrudion of City records in occordance with the City of Carlsbad Records Mondgement
Progrom.
Revised: 3/21/2075
Parks & Facility Use Applications for
Rental Permits
*lf more spaces are needed, click in the ldst box in right hand corner of toble ond hit "tab", This will creote more fields in the tdble,
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPTETED BY:
CERTIFICATE OF DESTRUCTION?
OEh"r,u DArE: b 'so'1 s
A({fr' <rrr o,-7 CARLSBAD
\r,=d-it SERVICE RECORD
CERTIFICATE OF DESTRUCTION
(THIS IS NOT AN INVOICE)
Customer: 11889293
City Of Carlsbad-Records Management
5a15 EI Camino Real
CARLSBAD CA 92008-8801
USA
Page: 1 of 1
Order #: 8024860953
Order Date: OGI30/2016
This year your firm has $aved 42.8La trees through recycling shredded paper.
QrYServiced, a7A:
Bankers/Archive
Box
Equipment
Maintenance:
Service Type:
Customer Signature:
Customer Print Name:
Received on Account: $
NA = Not Accessible
E an"ou" / check No.:
Additional Charges:
Autmomatic TotalContainerlnventory:service:
Extra Material: Container Type:
Purge Service: Requested Type:
NF = Not Found at Location
QTY: 1.000
QTY:
Actual
QTY:
QTY:
NA NF Container Type Serlal No.Loeataon