HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Housing Services; 2013-10-24 (5)thred-H
Shred-il.
3801 Ocean Ranch Blvd
Suite 101
Oceanside CA
92056
Phone: 760- 598- 5700
SERVICE RECORD SUMMARY
CKRTIFICATE OF DKSTRUCTION
PLEASE KEEP THIS FOR YOUR RECORDS
(THIS IS NOT AN INVOICE)
Customer: 0011889293
CITY OF CARLSBAD RECORDS MANAGEMENT
5815 EL CAMINO REAL
CARLSBAD CA 92008- 8801
Order #: 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
FILE DRAWER 2
Total: 143
Service Time: 176 Min
Customer Signature: PAT DOWNIE
Uo^hAjyiu.
CSR Signature; RUBEN JACOBO
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 3/21/2013
REQUESTING DEPARTMENT: HNS REQUESTER: PATTI CRESCENTI
DESTRUCTION APPROVALS:
We certify that the records listed belo w 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.
DEPARTMENT HEAD: RECORDS MANAGEMENT: Cm ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
(if applicable)
291
CDBG: MEALS ON WHEELS; BOYS &
GIRLS CLUB; BRG BENNO FOUND
HSE OR DBR; BRO BENNO FOUND
CENTER; CATHOLIC CHARITIES;
COMM RES CTR; FROM THE INSIDE
OUT; LIFELINE TAX; LIFELINE AFTER
SCHOOL; LIFELINE GENERAL; MAAC;
NO CTY COMM SRVCS; NO CTY HLTH
SRVCS; SOLUTIONS FOR CHANGE;
YMCA OZ; HEARTLAND; WOMENS
RES CTR CITY OF CARLSBAD RES
FUND; CITY OF CARLSBAD ADMIN;
VISTA LAST FLORES AGENDA BILLS;
RANCHO CARLSABD AGENDA BILLS
2004 0565-30 TE+3
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION? • YES
SMEADSOFT BARCODES DELETED BY:
• NO
DATE: \0'2.<hi^
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
^' CARLSBAD Revised: 3/21/2013