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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Fire; 2014-06-23iS2 RECORDS DESTRUCTION AUTHORIZATION FORP RECORDS DESTRUCTION AUTHORIZATION FORIVI DATE: J-J-O-I^ REOUESTiMG BEPARTmmi: fire DESTRUCTIOfi ApmovMS: REQUESTEI I -s Ritmm mmmEWEm: CilY ATTOSMEY: DATED REiSNO. RRS TABB««:ODE f if appicafelel 7 'Pb Qf^( 7 r To fie jf/tetf am ome rtcords hme besn slssosfed. RECORD SESTRUCTION CO»LETED S¥: CESTiiFICATE OF DESTRUCTIDN? DATE: fES • NC m&MXmWX SARCODES MIETED BY: DATE: JUiform dmxments tise dsstmaiBn o/ City reasr^s k ecmr^ce *e Ckjr of CarisSsal Secoreis Stesoge/HeBt Pmgmm. J% .......... Bemsed: 4/26/2013 CARLSBAD Page 132 cirnAs. »lllM<H:M»MJrl.Hmi.l.'W 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 lUlaterlal # SV0000326 Description Purge Svc (P/0n)-Legal (Large) Box Quantity 99/00 EA Order Notes: Quantity Serviced ,11 Uw 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 Page 1 of