HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Library & Cultural Arts; 2014-06-23 (2)RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 1/14/2014
REQUESTER: C.SEXTON REQUESTING DEPARTMENT: LIBRARY & CULTURAL ARTS
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
DEPARTMENT WA'D: RECORDS MANAGEMENT: CITY ATTORNEY:
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BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
UB015 Library Board of Trustees Mtg
Agenda 2011 0335-40 CU-H2 LD000166
Historic Preservation Commission
Mtg Agenda 2004 0325-40 CU-i-2 LD000074
Historic Preservation Commission
Mtg Agenda 2005 0325-40 CU-H2 LD000108
Historic Preservation Commission
Mtg Agenda 2006 0325-40 CU+2 LD000115
Historic Preservation Commission
Mtg Agenda 2007 0325-40 CU+2 LD000123
Historic Preservation Commission
Mtg Agenda 2008 0325-40 CU-i-2 LD000126
Historic Preservation Commission
Mtg Agenda 2009 0325-40 CU-i-2 LD000134
Historic Preservation Commission
Mtg Agenda 2010 0325-40 CU-H2 LD000156
Historic Preservation Commission
Mtg Agenda 2011 0325-40 CU+2 LD000164
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To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: i^f^MXAAy^
CERTIFICATE OF DESTRUCTION? YES • NO
SMEADSOFT BARCODES DELETED BY:
DATE: (^23'^/(/
DATE:
This fom documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
<^^^' CITY O t
CARLSBAD Revised: 1/14/2014
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 24 JAN 2014
REQUESTING DEPARTMENT: LIBRARY & CULTURAL ARTS REQUESTER: C. SEXTON
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required auetfts have been
completed, and no pending or ongoing litigation or investigation involving these records is known to exist
Hi.ahAA3
DEPARTMENT HEAI RECORDS MANAGEMENT: CITY ATTORNEY:
•''^ BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
LIB015 Terminated part-time employee
records 2008 0810-25 TE+5 n/a
*// more spaces are needed, click in the last box in right hand corner of table and hit "tab". This will create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY: _
[3^YES • NO
DATE:
DATE:
0^3 '^<f
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
<Ax c„ o. Revised: 1/24/2014
^ CARLSBAD ^ V^c(^
CINEAS.
»l!IM«l'IMaJl.Hmi.llflCT
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
996.00 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 ttiat Cintas Document Management siireds confidential data per customer's instructions for tiie 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 N
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