HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Utilities; 2011-06-28CITY OF
CARLSBAD
Records Management
Page 1 of 1
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Utility
Person(s) Completing Form: Javme Foster
APPROVALS FOR DESTRUCTION
Department Head Date
ik( 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.
67
112
RECORDS DESCRIPTION
3303 Aqua Hedionda Pump Station, 3375
Maerkle Pump Station, 3299 Homeplant Pump
Station and Forcemain <ci^\A-rf 1 ((\Qo
3299 Homeplant Pump Station and Forcemain
deneraJ (cJrO
DATED
1990-1992
1991
RRS NO.
3>
1000-05
1000-05
RRS Sp"
PERIOD
CU+2
CU+2
SMEADSOFT
BARCODE
(if applicable)
fl\(\
\<U
APPROVED By
City Attorney
H=HOLD
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
NO
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 CERTIFICATE REFERS TO INVOICE NO.:
SERVICE LOCATION:
.
PHONE
BILLED TO:
091-
DATE:
PURGE
Civ Of Carlsbad-Records I." . a«rt
5815 B Camtno Real
**NO 3UR-CMAROE
OQS
AttnL Rwwti
'?a<toy Aye
ft
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:
NAME
MRS.: WIN.:
CLIENT:
PRINT CUSTOMER'S
^
This year, through Shred-it's
recycling program, your firm
has saved trees from destruction.
CERTIFICATE OF
DESTRUCTION
THAN K YOU FOR
YOUR BUSINESS.
SECURING YOUR OFFICE thred-ittAND THE ENVIRONMENT