HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Library & Cultural Arts; 2011-06-28CITY OF
CARLSBAD
Records Management
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RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Cultural Arts
Person(s) Completing Form: Cheryl A. Blaine
APPROVALS FOR DESTRUCTION
Department Head Date
•)f~ Records Manager Date
City Attorney Date
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.
BOX
NO.
RECORDS DESCRIPTION
Community Arts Grants
DATED
2005
RRS NO.
0480-47
RRS
PERIOD
CL+5
SMEADSOFT
BARCODE
(if applicable)
n/a
APPROVED By
City Attorney
H=HOLD
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:,
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARDCODES DELETED BY:
DATE:
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
WE RECYCLE Shw*
P, 0
Vista, CrPHONE
CERTIFICATE REFERS TO INVOICE NO.:
SERVICE LOCATION:BILLED TO:
DATE:
Ciy Of Ctffsbacf-Reeords K'-
6815 El Camsio Real
iiad
fyAve
•
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO.:TRUCK NO.:
CUSTOMER SERVICE REP.::
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
This year, through Shred-it's
recycling program, your firm
has saved trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
MRS.:MIN.
SECURING YOUR OFFICE Tired-/*
AND THE ENVIRONMENT