HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2018-01-23RECORDS DESTRUCTION AUTHORIZATION FORM
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DATE:
REQUESTING
DEPARTMENT: (!/JP D I/JI v. REQUESTER:
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.
41L
DEPARTMENT HEAD: CITY ATTORNEY:
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BOX NO. RECORDS DESCRIPTION DATED RRSNO. RRS TAB BARCODE
PERIOD (if applicable)
I r...Jl/S /J.3-i1J~NSLl(JS d0/5, 0'410 -Lfi ~0-'
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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. _/----,
RECORD DESTRUCTION COMPLETED e\,._ .{~
CERTIFICATE OF DESTRUCTION? w YES
liu,A-U-
NO
DATE:
--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
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