HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Records Management; 2016-01-25-/'./ RrconDs DEsrRucrroN AurnoRrzATroN Fonnn
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t\,e certily that the recaros lis1i.-a belcw ttavt been retatr,ed jor the scheduied ieteni!ct- pelcd, :eGtiied ctLidits jtctte been
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BOX NO.RECORDS DESCRIPTION DATED RRS NO.RRS
PERIOD
TAB BARCODE
(if applicable)
gWtVo CCTV Agendas 2000-2008 0200-31 CU+2
Cable Television Foundation
Grants 2000-2008 0200-33 CL+5
*[ more spoces ore needed, click rn the ldst hox in right hond corner oI toble and hit "tob", This wlll create more fields in the toble.
To be filled out once records have been destroyed. -\ f.
2ba;"r,ttt-RECORD DESTRUCTION COMPLETED BY: J i--95,2o1DATE:
CERTI FICATE OF DESTRUCTION?
TAB BARCODES DELETED BY:
Ivrs tr No
DATE:
A
Y
fhis form documents the destrudion of City records in accordonce with the Clty ol Corlsbad Records Manogement Program.
Revised: 9/3a/2074p*ge llCARLSBAD
\r,=d-it SERVICE RECORD
CERTIFICATE OF DESTRUCTION
(THIS IS NOT AN INVOICE)
Customer: 11889293
City Of Carlsbad-Records Management
5a15 EI Camino Real
CARLSBAD CA 92008-8801
USA
Page: 1 of 1
Order #: 8024860953
Order Date: OGI30/2016
This year your firm has $aved 42.8La trees through recycling shredded paper.
QrYServiced, a7A:
Bankers/Archive
Box
Equipment
Maintenance:
Service Type:
Customer Signature:
Customer Print Name:
Received on Account: $
NA = Not Accessible
E an"ou" / check No.:
Additional Charges:
Autmomatic TotalContainerlnventory:service:
Extra Material: Container Type:
Purge Service: Requested Type:
NF = Not Found at Location
QTY: 1.000
QTY:
Actual
QTY:
QTY:
NA NF Container Type Serlal No.Loeataon