HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2019-01-15 (4)-------------------'"'"""""' _____ "" ___________ _, ____ ..,
RECORDS DESTRUCTION AUTHORIZATION FORM ------------------------------------~
DATE:
REQUESTING
REQUESTER: nf J3
DEPARTMENT: {!6/Jl) I!Vt/E.5Tt914ncw5 /'I, Alf<./lle5
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: EC{)RDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRSNO. RRS TABBARCODE
PERIOD (if applicable}
I f31JY ~TLIS /,J ~ ( flffwfVSL/ f).S\ tJ/\T~;;;~ Tl> I '31 l<r. ... ,. --IL;'i 'j/0 //} ,-C),L,-t-'d-
I /JJ(JX FL 1c; ( FIEL/) I NTER1/ IR1 ~ 0/{r{)/( f)f?./()f,,
Tn /8,/:3!/;~ Otf:.>71) -'1''1 ?--
*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~~4' ~
CERTIFICATE OF DESTRUCTION? t;::] YES NO
DATE:
SMEADSOFT BARCODES DELETED BY: -DATE:
«~>'\ 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