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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2019-07-11RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 6:,[ 17( ~9 REQUESTING DEPARTMENT: f c.¥ g_. ~--~------- DESTRUCTION APPROVALS: 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. RECORDS MANAGEMENT: CITY ATTORNEY: ~-L .... /4,..~ ,,~1iil .. _-~ ~.Ci~~-• 2.Jfai, Z_.,,...,,..;:;g:;gJ_~-· BOX NO, RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) ~/11.J ~, 11 P o<'k:. Wu <1 k) n:< i' lt s \"\~q-:x t!'l1l) ... ~;, J!Yt 2. \""i°t 'L, i"" · Q 1> t /~"AJ;~8~. © 'w1> t ~ 1 . . ,d ~r;t t s ~ J-.. ,-fil.t -'20\/ \ \ l'i \1 'I ' ' ._ -. . ' ,--, ' .'' , '\ -~ ' 'f't\1SC ~i.Ui d\f\d.,-tyo,kJ \\ 11 l~ ,_ ~<m, lri·1l5 µo\f~I';(-~ \.t-j l°I~ l-8i \I " lf'a-.1; -_b.-• 11iiiJ~1-ir- I ~iJ._ ~ tv.i 2c. ''" K~ -l€ / 141-o-l~'iS . \ \ ., ~ 0 . - *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: __ Cr;n __ l)_~ __ _;_k-; ___ _ DATE: CERTIFICATE OF DESTRUCTION? (&_YES 0 NO .C- SMEADSOFT BARCODES DELETED BY: ____ !_-_______ _ DATE: _____ _ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. «~;,. cm o, Revised: 5/24/2018 ~ CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM ,.$ -·• -~~~--1-. .,__(7. ---. __ .,.. #• .. -, •• -'"-~--=· -. ...,. ,___ ' --_,_ ~-,-.-. ' --~-~ . -~------.,.---... _ .. _!L,_~--2 DATE: g,JJ 1 /t '7 REQUESTING DEPARTMENT: _J: _____ ~~12-_____ _ DESTRUCTION APPROVALS: 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 i~ve~tigation involving these records is known to exist. (~l~ dJS RECORDS MANAGEMENT: CITY ATTORNEY: . BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) Ft200 f ,p:-, vt &,,,,.. e,; r, l -:rt'''\, fe1i..j,1.,t,s- , Sp c.u.L----:e Q...6 rul U of A/i3-:: f.lj8'"T-q( o''('2;o-qq 2. frf JJ/A ,, f4 tk r l t. "'ri::, ..,<,..... e:,v k,.ef-! 4 t=to '\ -t.-yv~. \ " , ' f a-tll f lt1ni,,11 ~ • ?'1 A~ ~d.,ot1~ W~ . z·ouu ~ V l fv-t k ~ \t;-i~/li -\A~i' :IC:-l&:i ?ti -'l.P1 i} I ' . ti l/1<1t, ~iu fu · ,A11'itniv,.f::;r1,. ?J)[)'Z,,. ' I I fRoo2-V .:_ r j .J I /rvJ tvA..-04i$ f/a,J;e,/J-fb,,,o1;111 l'ffi3 -'ir (!~ Iii II t~ {j()yW (,} ..t _p (H,,f..&... .r t:,'i l Ult;.,--_ /l_;j~ ... t,/d StJJir!¥1 ;nA. ? JI ... I I ' : *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? )2(i_Es 0 NO DATE: 7//1 /4/eJ -SMEADSOFT BARCODES DELETED BY: ____ -_______ _ DATE: ------ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. <~"> cm o, Revised: 1/11/2018 w CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 1 /~/l q REQUESTING DEPARTMENT: ___._f_•..c.._• _,_'g_-----'------- DESTRUCTION APPROVALS: 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. RECORDS MANAGEMENT: To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: (};y-0 dAfu CERTIFICATE OF DESTRUCTION? IZl YES □ NO SMEADSOFT BARCODES DELETED BY: ___________ _ CITY ATTORNEY: DATE: DATE: TAB BARCODE (if applicable) ------ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. ,l~ir cm or Revised: 5/24/201.8 ~ CARLSBAD . RECORDS DESTRUCTION AUTHORIZATION FORM '>~\\-'i'i!,¥~\llW&lf-"~~RW.?\'-'/:51'/~~~~~~-A~~l'll((!d'~ ~W~iJDJ~~~"(,~?~klh"Y~~~'1"-C"~~~!5!½~~t{~~~~~~?.At&>:f_,;~~~~;._t>_W1;,..~,JJ.~~'?4~~f:ft~~~i.,~$.lr~t:'~;£\ili;'~~~~•t1;s;/!'~7;;S-.ff-tf!>l;;7,rl!k7J,:D DATE: _-r.....L./_'3.._/_I 1.a,..__ __ REQUESTING DEPARTMENT: -p ~ (_ --~~~-----REQUESTER: :\2~ q{~':'\ -~----'~---'r-s--- DESTRUCTION APPROVALS: 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. ~ ~-rwfJ L PARTMENT HEAD: RECORDS MANAGEMENT: ' CITY ATTORNEY: To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: ten~ CERTIFICATE OF DESTRUCTION? i:J(__vEs □ NO -SMEADSOFT BARCODES DELETED BY: ___________ _ TABBARCODE {if applicable) RRS: /J9ao-os DATE: DATE: _____ _ This form documents the destruction of City records In accordance with the City of Carlsbad Re,.,.• Management Program. <~ CIJY or . Revised: 5/24/2018 -w CARLSBAD 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 of the parties" Service Agreement(s) or Work Ticket(s). 1:1corodata f/SSAE16 Type II Audit Completed HIP£