HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Manager; 2014-06-23RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: l-S]" [A-
REQUESTING DEPARTMENT: ^
DESTRUCTION APPROVALS:
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riovc Dec:
DEPARTMENT READ
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
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To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY: w YES • NO
DATE: (P^3'MCI
DATE:
I ^ CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records IVIanagement Program.
Revised: 1/28/2014
0G36 - San Diego
9455 Waples St. Suite 110
San Diego, CA 92121
Phone # (858) -678-0460
Fax # (858) -678-0894
Certificate of Destruction
City of Carlsbad
1635 FARADAY AVE
CARLSBAD, CA 92008-7314
Document # 8005499713
Document Date 06/23/2014
Cintas Route/SSR R0G36.0046/Luis Anzueto
Customer # 10213041
Service Type Purge
Customer Group On-Site
Next Service Date
Material #
SV0000326
Description
Purge Svc (P/On)-Legal (Large) Box
Quantity
9^C 998.00 EA
Order Notes:
Quantity Serviced
112 sm\^
Has 100- 150 Boxes at: 5816 El Camino Real, Carlsbad, 92008. Hours: 8
am - 5 pm. Contact is Pat Downie 760-602-2738. Please call ahead of
time if you will be there between 11:30 and 1 pm. There will be a box
truck here collecting blue prints as well. Will invoice. Scheduled per
Sales Rep. Liz.
MANUAL PUSH 20140617 212016
This certificate is to certify that Cintas Document Management shreds confidential data per customer's instructions for the above-mentioned company.
The following services are NAID certified: Hard Drive Destruction, Mobile Destruction and Offsite Destruction. The following services are not NAID
certified: Non-paper Destruction.
Service Representative Signature Date ^ " 14
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