HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2017-02-27RECORDS DESTRUCTION AUTHORIZATION FORM
DATE:
7 I REQUESTING
DEPARTMENT: _._fo-=-o_L......,I r!.=E=-----_I-=---.LM-'-V--'-. _
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.
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DEPARTMENT HEAD: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
I Jvi',( f1eLD Trde~v,ews ;).f)/1 Ob7o -ss t1 .
*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: -~-L-""""""'A--"'-"" ..... _A_._.4t'-L-'..,,£~_,a_}=*"'---
CERTIFICATE OF DESTRUCTION? _.R] YES O NO -SMEADSOFT BARCODES DELETED BY: DATE:
~,~ C IIY OJ
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
~ CARLSBAD Revised: 2/6/2017
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: ~ /J /; 7 ~~~_,_,...,~_,_~~~~-
REQUESTING -·
DEPARTMENT: JrVv.
DESTRUCTION APPROVALS:
We certify that th e 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.
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DEPARTMENT HEAD: R£dims MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE .
PERIOD (if applicable)
I hn}( +1P/ /) T 11tf~ ~ ,l,P,~ )( :J ()/ ti D6r7 o-.S:6 ;I..
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*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. C I}_ .
RECORD DESTRUCTION COMPLETED BY: \_/ __!_~
crnT1F1cATE oF 0EsTRucT10N? -,.M--,,--v'-Es-~~o'--'-=N=o~--
SMEADSOFT BARCODES DELETED BY: DATE:
•i~~ CITY Of
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
~ CARLSBAD Revised: 2/6/2017
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE:
REQUESTING
DEPARTMENT:
DESTRUCTION APPROVALS:
I I
foL /(!_E INV.
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.
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DEPARTMENT HEAD: t:doios1viANAGEMENT: CITY ATIORNEV:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
~ box.es TtL<. /;l ~ PA,,,,., s/,n, ;}!J /¥ 0/,!)10-b~ {!J,/+~
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*If more spaces ore needed, click in the last bax 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. /1 tJ
RECORD DESTRUCTION COMPLETED BY: J · k:1Q../~
CERTIFICATE OF DESTRUCTION? 00 YES· 0 NO
DATE: .;) .. /8,. 7 ft J ~ ,
SMEADSOFT BARCODES DELETED BY: --DATE:
,<,~ CIIY O J
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
~ CARLSBAD Revised: 2/6/2017
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: ______._~.L\-+--17=--+/----'-/ _.__7 __
REQUESTING
DEPARTMENT: fbL1t!.£ Itvv. REQUESTER: I y l ~
\_) ~4{)N.1\.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.
~d ~-<--< _--,G)/J~k, ,y{ d
DEPARTMENT HEAD: ~ MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
:J h/'J/Pt:, JtJ.<:; Id~ /iJ1,1JAfSL1LJS :J.o 13 0h7D -65 {].1,1 j-~
V .... ,
*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 toble.
To be filled out once records have been destroyed. ~~ YES D NO
DATE: RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY: DATE:
•i~~ Clf Y OJ
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
~ CARLSBAD Revised: 2/6/2017