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RECORDS DESTRUCTION AUTHORIZATION FORM (9
DATE: tJ/ /St C/ --~-------
REQUESTING
DEPARTMENT: /J /) 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.
?f~
DEPARTMENT HEAD: CITY ATTORNEY:
*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.
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
-PERIOD (if applicable)
(,£v IA 13-23 12/08/13 0670-10 CL+5
··~ Tokle, Cheryl 07/05/17 0850-30 TE+5
,. Thompson, Kea hi 09/10/17 0850-30 TE+5
Maxwell, Danielle 09/27/17 0850-30 TE+5
... Michalek, William 11/05/17 0850-30 TE+5
... Patton, Bev 12/21/17 0850-30 TE+5
--Shultz, Randy 12/21/17 0850-30 TE+5
-Oppenborn, Chad 12/30/17 0850-30 TE+5
, Shelton, Rob 12/30/17 0850-30 TE+5
-Barela, Adrienne 04/11/18 0850-30 TE+5
-Garrett, Mark 04/30/18 0850-30 TE+5
-Ridenour, Kimberly 05/18/18 0850-30 TE+5
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: 'N! \,'f:::.£\/1 c.1-1 '7086 C..f'D. DATE: 01 a,f;.it<='t
CERTIFICATE OF DESTRUCTION? □-YES [2j-.NO
SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 1/15/2019
RECORDS DESTRUCTION AUTHORIZATION FORM (f)
DATE: ~ t} / /'? /9
REQUESTING
DEPARTMENT: )l
DESTRUCTION APPROVALS:
/JiJ REQUESTER:
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.
DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY:
*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.
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable) -Dentoni, Mollie 06/30/18 0850-30 TE+5
-Gadjanski, Victor 06/30/18 0850-30 TE+5
-Moncrief, Aaron 07/10/18 0850-30 TE+5
Seymour, Brittany 07/10/18 0850-30 TE+5 -
-· Tovar, Elissa 07/10/18 0850-30 TE+5
-Weber, Kerry 09/03/18 0850-30 TE+5
-Iacobellis, Raymond 11/07/18 0850-30 TE+5
-Ducommun, Dana 11/27/18 0850-30 TE+5
.. Becker, Mark 11/29/18 0850-30 TE+5
-Spencer, Gary 12/05/18 0850-30 TE+5
-Gift, Myrven {Frank) 12/30/18 0850-30 TE+5
-Anguiano, Raul 01/01/19 0850-30 TE+5
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: MI rtC6 v, CH rtJ~ha DATE: t}/ 2'?1 °J
CERTIFICATE OF DESTRUCTION? 0 YES ~ NO
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.
w CARLSBAD Revised: 1/15/2019
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: K {) //~/ 1
REQUESTING
DEPARTMENT: j.. ----------
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.
DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY:
*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.
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
-Hansen, Catherine 01/02/19 0850-30 TE+5
--...... Smith, Gary 01/02/19 0850-30 TE+5
--· Gomez-Vega, Sandra 01/14/19 0850-30 TE+5 . . -
r;rt11r11r1& ~~t,'!,~, c1/4'1 &;,'h-7u rtt__,_ z ,, , ,
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: N tT/c'£Ut l:t"f 101?'~ DATE: tJ17PI~
CERTIFICATE OF DESTRUCTION? 0 YES ,El NO
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.
w CARLSBAD Revised: 1/15/2019