HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2017-01-24RECORDS DESTR UCT ION AUTHORIZATION FORM
D ATE: 12/27/2016
REQUESTING
D EPARTMENT: POLICE
D ESTRUCTION A PPROVALS:
RE QUESTER:
SGT. T HOMAS
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
completed, a.nd no pending or ongoin g litigation or investigation invo lving these records is knoWl]J.I.CJ-fiH!i/9'...._
RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
January
Cpl. Severy/Ario Canine 28, 2004
apprehension/training reports through
January
23,2012
*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.
DATE:-~} /_"2-_t..~/ )~)"7_ RECORD DESTRUCTION COMPLETED BY: :5 · ~ VV\,C' f
CERTIFICATE OF DESTRUCTION? 1Rf' YES O NO
SMEADSOFT BARCODES DELETED BY: DATE:
~ «~', Cll\" 01 ~ CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
Revised: 12/27/2016