HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2013-10-24 (3)thnd-lt
Shred-it.
3801 Ocean Ranch Blvd
Suite 101
Oceanside CA
92056
Phone: 760- 598- 5700
SERVICE RECORD SUMMARY
CKKTIFICATKOF DESTRUCTION
PLEASE KEEP THIS FOR YOUR RECORDS
(THIS IS NOT AN INVOICE)
Cnslomer: 0011889293
CITY OK CARLSBAD RECORDS MANAGEMENT
5815 EL CAMINO REAL
CARLSBAD CA 92008- 8801
Order ft: 8009700753
Order Date: 24.10.2013
Service Type; SHRED - ON- SITE PURGE
Contact: PAT DOWNIE
Time In: 07:52 AM
Time Out: 10:49 AM
Material Collected
BANKERS/ARCHIVE BOX 141
KILE DRAWER 2
Total: 143
Service Time: 176 Min
Customer Signature: PAT DOWNIE
CSR Signature: RUBEN JACOBO
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: .^-agr 1^ ik • • A
REQUESTING DEPARTMENT: UdiW.U^a\/iCSL REQUESTER: TmMd v[oaif&2^
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.
EPARTMENTHEAD: RECORDS MANAGEMENT: CiTY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
(if applicable)
V. ' - ... 11 /J/i^ . -- -• -\^ -
'-- .1.
— . -
f ,/ 1 \ . r .- -«*
--^"""^ f
—
L- ; •
^^^^
• • - 1 1
-- -
—
r\ 1 1^^^- ' " - \n.
. To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: TCtX/'lP^T' DATE: {0'2^-'f3>
CERTIFICATE OF DESTRUCTION? ET^ES • NO
SMEADSOFT BARCODES DELETED BY: DATE:
V<%- CM.
CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 4/23/2013