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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Risk Management; 2014-06-23 (2)RECORDS DESTRUCTION AUTHORIZATION FORM DATE: MAY 6,2014 REQUESTING DEPARTMENT: PAGE 1 OF 15 RISK MANAGEMENT REQUESTER: TERIE ROWLEY 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 toexist. DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM27 AAA, Deroze-Claim, Vehicle Collision Closed 2007 0745-20 CL-i-5 RKM27 AAA, Speck-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM27 Acosta, Joe-Claim, Sewer/Water, Tree Related Closed 2007 0745-20 CL-i-5 RKM27 Acuna, Justin & Luis-Claim, Vehicle Comprehensive (other than collision, tree or law enforcement related) Closed 2007 0745-20 CL+5 RKM27 Allen, Helene-Claim, Vehicle Collision Closed 2007 0745-20 CL-(-5 RKM27 Anaraki, Saray-Litigated Claim, Law Enforcement Closed 2007 0745-50 CL+7 RKM27 Archstone Seascape-Claim, Sewer/Water, Tree Related Closed 2007 0745-20 CL-i-5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY m YES • NO DATE: ^^3 -^/f DATE This form documents the destruction of City records in accordance with the City of Carlsbad Records Management ,<t> • " ». Program. ^ CARLSBAD Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: PAGE 2 OF 15 RISK MANAGEMENT REQUESTER: TERIE ROWLEY 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 HEAD: RECORDS MANAGEMENT: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM27 AT&T-Claim, Sewer/Water (Tree Related) Closed 2007 0745-20 CL-I-5 RKM27 Attinger, William C.-Claim, Sewer/Water (other than tree related) Closed 2007 0745-20 CL-I-5 RKM27 Banich, Mike-Claim, Sewer/Water (Other than tree related) Closed 2007 0745-20 CL-H5 RKM27 Becker & Annett, Katie & Cec-Claim, Sewer/Water, tree related Closed 2007 0745-20 CL-H5 RKM27 Belanger, France-Claim, Vehicle Comprehensive (other than collision) Closed 2007 0745-20 CL+5 RKM27 Bennett, Betty Ann-Claim, Vehicle Collision Closed 2007 0745-50 CL+7 RKM27 Berchiolli, Kent & Catharine-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM27 Blair, Giles 8t Debra-Claim, Sewer/Water (tree related) Closed 2007 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: WY^ • DATE: ^'<^Z^Or^ DATE This form documents the destruction of City records in accordance with the City of Carisbad Records Management c,„ „. Program. CARLSBAD Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: PAGE 3 OF 15 RISK MANAGEMENT REQUESTER: TERIE ROWLEY DESTRuaiON 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 knpvMiJCLexist DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) . RKM27 Bonas, William-Claim, Law Enforcement Closed 2007 0745-20 CL+5 RKM27 Bosco Family Trust-Claim, Sewer/Water (Other than tree related) Closed 2007 0745-20 CL+5 RKM27 Botros, Morrow-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM27 Bradley-Cliche, Courtney-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 ,^ RKM27 Brody, James & Christine-Claim, Tree (Other than sewer/water related) Closed 2007 0745-20 CL+5 *>^RKM27 Brown, Marilyn-Claim, Law Enforcement Closed 2007 0745-20 CL+5 RKM27 Brown, Russell-Claim, Law Enforcement Closed 2007 0745-20 CL+5 ' RKM27 Campbell, Ramon-Claim, Trip/Fall Closed 2007 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: • YES • NO _ DATE: L^3'^eY^ DATE This form documents the destruction of City records in accordance with the City of Carlsbad Records Management .<t/, c, o, Program. CARLSBAD Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: PAGE 4 OF 15 RISK MANAGEMENT REQUESTER: TERIE ROWLEY 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 knovvpjo exist DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) R\Mi^\ jCf^mj%j{^\^ RKM27 Chamberlain, Michael-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 u RKM27 Clinnin, John A.-Claim, Other, Slope Failure Closed 2007 0745-50 CL+7 RKM27 Cole, Shirley-Claim, Trip/Fall Closed 2007 0745-20 CL+5 RKM27 Cooney, Teresa & Brian-Claim, Tree (Other than sewer related) Closed 2007 0745-20 CL+5 RKM27 Crawford, Michael-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM27 Crommett, Laura-Claim, Vehicle Comprehensive (Other than collision) Closed 2007 0745-20 CL+5 RKM27 Davis, Louise-Claim, Sewer/water (tree related) Closed 2007 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? ^3^^ SMEADSOFT BARCODES DELETED BY: • NO DATE: ^ ^d/y DATE This form documents the destruction of City records in accordance with the City of Carlsbad Records Management A c,„ ,.. Program. "^^ CARLSBAD Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: 5"- 7'/^ PAGE 5 OF 15 RISK MANAGEMENT REQUESTER: TERIE ROWLEY 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 knowntoexist DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM27 Defrancesco, Russell-Claim, Tree (Other than sewer/water related Closed 2007 0745-20 CL+5 RKM27 Dennison, Joyce and John-Claim, Sewer/water (tree related) Closed 2007 0745-20 CL+5 RKM27 Deroze, Mark-Claim, Vehicle collision Closed 2007 0745-20 CL+5 RKM27 Donner, Jr., Paul-Claim, Law Enforcement Closed 2007 0745-20 CL+5 RKM28 El Camino Real Partners-Claim, Sewer/Water, tree related Closed 2007 0745-20 CL+5 RKM28 Emery, Sharon-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM28 Estrada-Ledesma, Maria-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM28 Farmer's Ins., Grube-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM28 Farmers, Mayo-Claim, Sewer/Water (tree related) Closed 2007 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: ^YK • NO (j,/<^-ihAn/c.Ui3, DATE DATE : (^flfUU/ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. ^ CARLSBAD Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: 5 RISK MANAGEMENT PAGE 6 OF 15 REQUESTER: TERIE ROWLEY 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 HEAD: RECORDS MANAGEMENT: CITY ATTORNEY BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM28 Ferreira, Mateo & Jeanne-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM28 Ford, Jim-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 ^ RKM28 Francis, Estate of John C.-Claim, Other, relates to plane crash Jan 2006 Closed 2007 0745-20 CL+5 ^ RKM28 Garratt, Debra Marie-Claim, Other, relates to plane crash Jan 2006 Closed 2007 0745-20 CL+5 V. RKM28 Garratt, Jr., James-Claim, Other, relates to plane crash Jan 2006 Closed 2007 0745-20 CL+5 RKM28 Geico/Billick-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM28 Glover, Cedric-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM28 Gonzalez, Ruth Corona-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: KT YES • NO DATE This form documents the destruction of City records in accordance with the City of Carlsbad Records Management A -'••>• Program. CARLSBAD Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: PAGE 7 OF 15 RISK MANAGEMENT REQUESTER: TERIE ROWLEY 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 HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (If applicable) RKM28 Gooley, Donna-Claim, Other, Street flooding due to contractor work - not performed by City of Carlsbad Closed 2007 0745-20 CL+5 RKM28 GOSHIP Air, LLC-Claim, Other, relates to plane crash Jan 2006 Closed 2007 0745-20 CL+5 RKM28 Grube, Dan-Claim, Vehicle collision Closed 2007 0745-20 CL+5 RKM28 Hays, Jodi-Claim, Other, shoes damaged by asphalt overlay Closed 2007 0745-20 CL+5 RKM28 Hernandez Tapia, Angel-Claim, Vehicle Comprehensive (Other than collision, tree or law enforcement related) Closed 2007 0745-20 CL+5 RKM28 Hogan, Summer-Claim, Law Enforcement Closed 2007 0745-20 CL+5 RKM28 Hoke, Marianne-Claim, Law Enforcement Closed 2007 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: _ SO^ES • NO DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management A »• Program. CARLSBAD Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 7^/^/ REQUESTING DEPARTMENT: PAGE 8 OF 15 RISK MANAGEMENT REQUESTER: TERIE ROWLEY 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 HEAD: RECORDS MANAGEMENT: CITY ATTORNEY BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM28 Holliday, Pari-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM28 Hope, Douglas-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM28 Houston, Earl-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM28 Jackson, Donnie-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM28 Jellinek As Executrix, Judith-Claim, Other,' Dangerous Conditions of Public Property Closed 2007 0745-20 CL+5 RKM28 Jurewitz, Ross and Lee-Claim, Sewer/Water (tree related) Closed 2007 0745-20 CL+5 RKM28 Karoly, Neila-Claim, Sewer/Water (tree related) Closed 2007 0745-20 CL+5 RKM28 Kestler, Mary Lou-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: GfYES • NO DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management A 1,1. o, Program. ^ CARLSBAD Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: RISK MANAGEMENT 9 OF 15 REQUESTER: TERIE ROWLEY 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 HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM28 Kreidman, Jason-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM28 Las Brisas Pacificas, Inc.-Claim, Sewer/Water (other than tree related) Closed 2007 0745-20 CL+5 RKM29 Law-Edwards, Martha-Claim, Trip/Fall Closed 2007 0745-20 CL+5 RKM29 Lewis, Claude-Claim, Tree(other than sewer/water related) Closed 2007 0745-20 CL+5 RKM29 Lewis, Diane-Claim, Trip/Fall Closed 2007 0745-50 CL+7 RKM29 Lewis, Mary-Claim, Sewer/Water (Tree related) Closed 2007 0745-20 CL+5 RKM29 Medina, Jennifer-Claim, Law Enforcement Closed 2007 0745-20 CL+5 RKM29 Midland, Jack-Claim, Sewer/Water (other than tree related Closed 2007 0745-20 CL+5 A To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY:. DATE: DATE This form documents the destruction of City records in accordance with the City of Carlsbad Records Management A c,„ o, Program. ^ CARLSBAD Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: b ^7^/^ REQUESTING DEPARTMENT: RISK MANAGEMENT PAGE 10 OF 15 REQUESTER: TERIE ROWLEY 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 HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM29 Nobel, Diana-Claim, Trip/Fall Closed 2007 0745-20 CL+5 RKM29 Pearson, Carol & G. Gary-Claim, Sewer/Water (tree related) Closed 2007 0745-20 CL+5 RKM29 Pittman, Trevon-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM29 Poponyak, Katie-Claim, Vehicle Comprehensive Closed 2007 0745-20 CL+5 RKM29 Quiroz, Sherri-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM29 Radosevic, Franjo-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM29 Raymond, Anthony Intl-RAI-Claim, Sewer/Water (other than tree related) Closed 2007 0745-20 CL+5 RKM29 Rivkin, Jonathan-Claim, Trip/Fall Closed 2007 0745-50 CL+7 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: • NO DATE; 4^ 'J3 '^ff DATE This form documents the destruction of City records in accordance with the City of Carlsbad Records Management .^<^>c,,,o, Program. ^CARLSBAD Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: S -^7^/^ PAGE 11 OF 15 REQUESTING RISK MANAGEMENT REQUESTER: TERIE ROWLEY DEPARTMENT: 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 knowiHoexjst DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM29 Rivkin, Shelly-Claim, Trip/Fall Closed 2007 0745-20 CL+5 RKM29 Roger, Analisa-Claim, Trip/Fall Closed 2007 0745-20 CL+5 RKM29 Roman, Rafael-Claim, Law Enforcement Closed 2007 0745-20 CL+5 RKM29 Ryan, Gail-Claim, Tree (other than sewer/water related) Closed 2007 0745-20 CL+5 RKM29 Sachs, Bruce-Claim, Vehicle Comprehensive (other than collision, tree or law enforcement related Closed 2007 0745-20 CL+5 RKM29 Scalia, Mike-Claim Vehicle Comprehensive (other than collision, tree or law enforcement Closed 2007 0745-20 CL+5 RKM29 Schoonmaker, Nancy Faith-Claim, Sewer/Water (tree related) Closed 2007 0745-20 CL+5 V \ To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: £S • NO DATE: ^ CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: ^^7^/^^ REQUESTING DEPARTMENT: PAGE 12 OF 15 RISK MANAGEMENT REQUESTER: TERIE ROWLEY 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 HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM29 Schucard, Alice & Eric-Claim, Sewer/Water (other than tree related) Closed 2007 0745-20 CL+5 RKM29 Search Engine Optimization, Inc.- Claim, Sewer/Water (other than tree related Closed 2007 0745-20 CL+5 RKM29 Seller, Gary-Claim, Vehicle comprehensive (other than collision, tree or law enforcement related) Closed 2007 0745-20 CL+5 RKM29 Shafran, Anne M.-Claim, Other, relates to plane crash 2006 Closed 2007 0745-20 CL+5 RKM29 Shafran, Isabella B.-Claim, Other, relates to plane crash 2006 Closed 2007 0745-20 CL+5 RKM29 Shafran, Margaret C.-Claim, Other, relates to plane crash 2006 Closed 2007 0745-20 CL+5 RKM29 Shafran, Reid J.-Claim, Other, relates 1 to plane crash 2006 Closed 2007 0745-20 CL+5 ^ To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: _ /33ro\3^tA--^ DATE: DATE: I I,, o. ^ CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: RISK MANAGEMENT PAGE 13 OF 15 REQUESTER: TERIE ROWLEY 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 f DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM29 Shafran, Steven.-Claim, Other, relates to plane crash 2006 Closed 2007 0745-20 CL+5 RKM29 Stephens, Kevin-Claim, Sewer/Water (Tree related) Closed 2007 0745-20 CL+5 RKM29 Stevens, Margrethe-Claim, Law Enforcement Closed 2007 0745-20 CL+5 RKM29 Streff, Gerry-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM29 Sympson, Kellen and Sierra-Claim, Vehicle Comprehensive (other than collision, tree or law enforcement related. 1 of 2 Closed 2007 0745-50 CL+7 ' RKM29 Sympson, Kellen and Sierra-Claim, Vehicle Comprehensive (other than collision, tree or law enforcement related. 2 of 2 Closed 2007 0745-50 CL+7 A To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: _ iSyES • HO DATE: DATE This form documents the destruction of City records in accordance with the City of Carlsbad Records Management A ' - - Program. CARLSBAD Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: RISK MANAGEMENT PAGE 14 OF 15 REQUESTER: TERIE ROWLEY 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 HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM29 Taylor, Karen-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM29 Thomas, Bruce-Claim, Other, Storage shed dispute Closed 2007 0745-20 CL+5 RKM29 Thrifty Car Rental, Driver, Ramos- Crafton-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM29 Travelers Indemnity, Ins. Raymond Anthony-Claim, Sewer/Water (Other than tree related) Closed 2007 0745-20 CL+5 RKM29 Urquhart, Ian & Fritzie-Claim, Tree (Other than sewer/water related) Closed 2007 0745-20 CL+5 RKM29 USAA Ins., Ferreira-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 RKM29 Wardwell, Jeffrey-Claim, Law Enforcement Closed 2007 0745-20 CL+5 RKM29 Weeks, John-Claim, Vehicle Collision Closed 2007 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: YES • NO DATE CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 5/6/2014 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: REQUESTING DEPARTMENT: RISK MANAGEMENT PAGE 15 OF 15 REQUESTER: TERIE ROWLEY 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 HEAD: RECORDS MANAGEMENT: CITY ATTORNEY BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM29 Wilhelm, Jayne-Claim, Trip/Fall Closed 2007 0745-20 CL+5 RKM29 Wilson, Tonia-Claim, Sewer/Water (Other than tree related) Closed 2007 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: [STYES • NO DATE: C 'c^3 '^f(^ ' DATE .^^i ctr Ol CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 5/6/2014 City of Carlsbad Loss Run Roport ClaknNatne J^fMA, DEROZE Date of Loss Date Received 01/01/2007 and 12/31/2007 Date Closed Category Date Litigate Loss Resenre Expense Reserve Loss Payment Expense Payment Incurred Status 01/19/2006 07/18/2006 03/30/2007 VEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00 CLOSED _'AAA, SPECK la^'ACOSTA, JOE Lik'^UNA, JUSTIN AND LU 06/07/2006 09/16/2005 01/15/2007 08/25/2006 09/16/2005 01726/2007 06/26/2007 08/30/2007 08/30^007 VEHICLE COLLISION SEWER/WATER (TREE VEHTCLECOM^PREHEI^ 0.00 0.00 0.00 0.00 6.00 0.00 6,496.33 7,436.27 0.00 0.00 000 0.00 6,496.33 A436.27 ^ aoo CLOSED CLOSED CLOSED Sjsr'/Km LLEN, HELENE 09/27/2006 10/05/2006 04/30/2007 VEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00 CLOSED /VN^RAKI, SARAH 03/03/2006 01/26/2007 04/30/2007 ARCHSTONE SEASCAP 07/01/2006 09/13/2006 04/30/2007 AT&T, \ 06/19/20061 09/05/20061 03/30/2007 U^^'ARC iS^TT LAW ENFORCEMENT 03/07/2007 SEWER/WATER (TREE " SEWER/WATER (TREE ; 0.00 0.00 0.00 0.00 0.00 000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CLOSED CLOSED CLOSED rM—I * -rr— r-\\ .TTINGER, WILLIAM C. 01/03/2007i 03/13/2007' 04/03/2007 SEWER/WATER (OTHE r-t -r-i I A M TT->t—f— rti-i *-i-i- 0.00 0.00 201.16 0.00 201.16 CLOSED 1|£V^ANICH, MIKE 11 j BANK OF AMERICA EXE iECKER & ANNETT, KA 1(33^iELANGERrFRAI^CE^ 02/22/2005 01/24/2006 01/17/2005 05/24/2005i 07/19/2006; 67/07/2065 04/03/2007 01/31/2007 6l708/2007 OTHER OTHER SEWER/WATER (TREE 0.00 6.00 0.00 0.00 0.06 0.00 0.00 0.00 785.00! 4,944.99 066 0.00 4,944.99 0.00 785^06 CLOSED CLOSED O-OSED 08/12/2006 12/12/2006 01/08/2007 VEHICLE COMPREHEN r*n #1— /^-t-i II—r-> -i-i I A M /->/^ 0.00 0.00 824.63 0.00! 824.63 CLOSED NNETT, BETTY ANN 16 ERCHIOLLI, KENT & C BERTUCCI, ANTHONY 09/18/2004 10/17/2006 01/11/2005 03/15/2005 10/24/2006 01/09/2006 07/13/2007 VEHICLE COLLISION 05/31/2007 01/31/2007 VEHICLE COLLISION OTHER ^^^BCAI 09/27/2005 08/10/2006 0.00 0.00 0.00 0.00 0.00 0.00 0.00| o.ooj 0.00 0.00; o.ool 000 0.00' 0.00 0.00 CLOSED CLOSED CLOSED IR, GILES & DEBRA 09/08/2007 09/17/2007 10/23/2007 SEWER/WATER (TREE 0.00 0.00 65.00! 0.00 65.00! CLOSED ^..BoSc \ 1 j 1 20 [AS, WILLIAM CO FAMILY TRUST, BOSCO, JEANNE 01/18/2006 03/11/2005 03/11/2005 06/14/2006 12/21/2006 12/21/2006 01/31/2007 01/08/2007 01/08/2607 LAW ENFORCEMENT SEWER/WATER (OTHE i-> -Tl I A M -i-r->i—i— r-> 1—I A -I-i— SEWER/WATER (OTHE 2nB<3TROS, MORROW ^g,KBFjADLEY-CLICHE, COU 0.00 0.00 0.00 0.00 0.00 0.00 O.OOj 0.00 O.ool O.OOj o^ooT 0.00 0.001 0.00 0.00' CLOSED CLOSED CLOSED 07/28/2006 12/12/2005 08/18/2006 06/07/2006 03/30/2007 01/31/2007 VEHICLE COLLISION VEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00| 0.00! O.OOi 0.00! O.OOi 0.00; CLOSED CLOSED BRODY, JOHN & CHRIS v^^k^OWN, MARILYN e&j^ROWN, RUSSELL aSf^AMPBELl. RAMON 08/06/2007 02/11/2006 08/06/2007 08/09/2006 09/17/2007 03/30/2007 TREE (OTHER THAN SE LAW EN'FcTwJEMENrf" 0.00 0.00 0.00 0.00 6,188.00; 0.00 0.00 0.00 6,188.00 0.00 CLOSED CLOSED 2e55HAMBERLAIN, MICHA 28 CHRISTIANSON, JOHN 02/11/2006 10/14/2005 08/09/2006 02/22/2006 03/30/2007 03/30/2007 LAW ENFORCEMENT TRIP/FALL 0.00 0.00 0.00 0.00 O.OOt 0.00 0.00 251.61 0.00 251.61 CLOSED CLOSED 04/19/2006 02/13/2006 11/09/2006 07/06/2006 05/31/2007 01/31/2007 VEHICLE COLLISION TRIP/FALL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 oToo ?&>CrLINNIN, JOHN A. 'aO^SoLE, SHIRLEY O.OOi 0.00 CLOSED CLOSED 01/11/2005 09/16/2006 01/09/2006 10/23/2006 01/31/2007 05/31/2007 OTHER TRIP/FALL 08/10/2006 0.00 0.00 0.00 0.00 0.00 6^66 3,734.78 0.60 3,734.781 -I 0.00! CLOSED CLOSED ,31>COONEY, TERESA & B ?2j5::RAWFORD, MICHAEL 05/22/2007 09/12/2006 05/24/2007 10/04/2006 06/19/2007 04/30/2007 TREE (OTHER THAN SE VEHICLE COLLISION 0.00 0.00 0.00 0.00 212.06 0.00 0.00 0.00 212.06! 0.66i CLOSED CLOSED Wednesday, April 17, 2013 LossRunClosed Page 1 of 4 city of Carlsbad Loss Run Roport ClalmName Date of Loss aamsaosedlntwnn 01/01/2007 91112/31/2007 Date Received >33^CROMMETT, LAURA Closed Category Date Litigate Loss Resen/e Expense Resen/e Loss Payment Expense Payment Incurred Status WfoAViS, LOUISE ft&-r6EFRANCESC0, RUSS la&fSENNISON, JOYCE OR a^^DEROZE, MARK 10/31/2006 12/07/2006 07/31/2007 VEHICLE COMPREHEN Iir /^^i Ir— r-> -T-1 I A 11 /"./-> 0.00 0.00 0.00 0.00 0.00 CLOSED 03/27/2007 10/07/2005: 03/16/2007i 03/28/2007 10/11/2005T 07/31/2007 63/05/2007 SEWER/WATER (TREE TREEIOTHER THAN SE' » A*r-r-> A« IA -l-l—r-> rti—i 05/02/2007 11/30/2007:SEWER/WATER (TREE 01/19/2006 01/27/2006 03/30/2007 VEHICLE COLLISION !aa?6o 0.00 ^00 O.OOi 0.00 0.66 0.00 30,508.73 7,875.00 0.00 4,093.40 0.00 6.00 34,602.13 0.00 0.00 0.00 721.65 7,875.00 0.00 CLOSED CLOSED CLOSED 721.65 CLOSED 30NNER, JR., PAUL 39 EATON, MONIQUE L CAMINO REAL PART uM^EMERY, SHARON 07/31/2006 |42^'STRADA-LEDESMA, M j 04/30/2006 06/14/2006 ^FARMERS, INS: GRUBE 03/24/2007' 05/03/20071 i\d<f*^RMERS, MAYO ' 03/27/2007! 05/15/20071 03/31/2006 04/18/2007! 11/30/2007 LAW ENFORCEMENT 10/26/20061 11/29/2006 06/29/2007TsEWER/WATER (TREE 12/20/2006; 02/12/2007' 08/30/2007!sEWERWATER (TREE 0.00 0.00 0.00 0.00 O.OOj 0.00 0.00| O.ool i 0.00 0.00 0.00 0.00 0.00 O.OOj O.OoT CLOSED CLOSED CLOSED 01/29/2007 08/30/2007 VEHICLE COLLISION 0.00 0.00 0.00! 0.00 0.00 CLOSED 06/29/2007 11/30/2007 VEHICLE COLLISION VEHICLE COLLISION 06/19/2007ISEWERWATER (TREE |r-*r-i A-t-i— 0.00 0.00 o.oo! 0.00 0.00 0.00 6,000.00j 0.00 3,862.08! 1,308,25 0.00 o.ooi 7,308.25 0.00 3,862.08 CLOSED CLOSED CLOSED FERREIRA, MATEO & J 11/26/2006 03/12/2007 05/18/2007 VEHICLE COLLISION 0.00; 0.00 156.16 0.00, 156,16 CLOSED 46 FLOWER, LAUREN V^ORD, JIM ' tns4<RANCIS, ESTATE OF J j 01/24/2006 03/26/2007 01/24/2006 07/19/2006 01/31/2007 OTHER 04/03/2007' 10/29/2007lVEHICLE COLLISION 07/21/2006! 01/31/2007!OTHER 0.00 0.00 o.ool 0.00 0,00^ o.ool 0,00 o,oo! o.ool 0.00 o.ooj 0.00 0.00 0.00 0.00 CLOSED CLOSED CLOSED 01/24/2006 07/21/2006 01/31/2007 OTHER 49 FRANCIS, MARY gO^RRATT, DEBRA MAR 01/24/2006 07/21/2006 M^^RRATT, JR., JAMES I 01/24/20061 07/21/2006! Ite^^iCO/BILLICK, 08/15/2006 12/08/2006| 0,00 0.00 0,00 0,00 0,00 CLOSED 01/31/2007 OTHER OI/3I/2OO7T0THER 06/29/2007lVEHICLE COLLISION 0,00 0,00' o,oo| 0,00 o,oo| 6.06I 0,00 O.ooi o,oo| 0,00 0,60 6ro6 0,00 0,00 6,66 CLOSED CLOSED CLOSED 53 GLOBAL AEROSPACE, I 01/24/2006 07/21/2006 SA-j^OVER, CEDRIC I 07/05/20071 07/12/2007! 01/31/2007 OTHER 08/1 4/2007!VEHTCLE COLLISION 0,00 0.00! 0,00 O.ool 0.00 756.O0I 0.00 0,00 0,00 756,66 CLOSED CLOSED I^^ONZALEZ, RUTH COR 06/14/2007; 07/10/2007 gS-i^OLEY, DONNA 11/20/2006| 12/11/2006' 08/06/2007jVEHICLE COLLISION 06/29/2007 OTHER 4ZX56SHIPAIR, LLC, 01/24/2006 [ig^^^RUBE, DAN I 03/24/2007 0,00 0,00 O.OOi O.ool 1,700,86| 0,6a 0,00 0,00 1,700,86 0,00' CLOSED CLOSED 07/21/2006 05/07/2007 01/31/2007OTHER 11/30/2007 VEHICLE COLLISION 5^|fC\YS, JODI j 09/19/2006:09/26/2006,03/30/2007 ' ^P^RNANDEZ TAPIA, AN 03/28/2007' 03/29/2007^ 05/17/2007 0,00' o,oo| 0,00 0,00 0,00 o,ool 0,00 0,00 0,00 o,66l CLOSED CLOSED §J-<FfoGAN, SUMMER 12/02/2006 I S^'^KE, MARIANNE . 05/13/2006 OTHER VEHICLE COMPREHEN //"t-l-i ir-r^ -f-i I A 1 0,00 0,00! 0,00 0,06 0,00 236,60l 0,00 o!66 0,00j 236,60 CLOSED CLOSED eS^lHOLLIDAY, PARI \^yf(6pE, DOUGLAS 07/09/2007! 10/29/2007ILAW ENFORCEMENT 08/09/20061 03/30/2007 LAW ENFORCEMENT 0,00 o,oo| 0,00! o,o6| 0,00 o,ool O.OOi 0.60 0.00 o.ool CLOSED CLOSED 07/28/2006 05/07/2007 07/31/2007 VEHICLE COLLISION 05/13/20061 07/05/20061 01/31/2007tvEHICLE COLLISION 0.00 O.ool 0,00 0,00^ 0,00 aoo 0,00 0,00 0,00 0,00 CLOSED CLOSED Wednesday, April 17, 2013 LossRunClosed Page 2 of 4 city of Carlsbad Loss Run Roport Cjatj ClalmName Date of Loss lUmsaoiiidlntwiMi 01/01/2007 and 12/31/2007 Date Date Received Closed Category UAxA^ - 2- ^ i^<^ /Vvv,j<=^ Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status 'HOUSTON, EARL ^^ACKSON, DONNIE 10/03/2006! 10/31/2006 05/31/2007yEHICLE COLLISION 0.00 0.00: 0.00 0.00 0.00 CLOSED 10/14/2006 10/27/2006 06/29/2007:VEHICLE COLLISION 0.00 0.00! 0.00 0.00 0.00 CLOSED 67 JAXAIR, LLC, 01/24/2006! 07/21/2006 01/31/2007 OTHER 1 ! olooj 0.00! oooj 0,00 o7oQ\ CLOSED 68<JELLINEK AS EXECUTR \^ iix* 11 ii-si-r-i 1 1 01/24/2006| 07/19/2006 01/31/2007 OTHER '3' "] 0.00 o,o6| o7oo aoo ooo" CTOSED 69 JELLINEK TRUSTEE, JU .r-n-t-i • 1 01/24/2006 07/19/2006 01/31/2007 OTHER 0.00 0,00 0,00 0.00 0,00 CLOSED 70 JELLINEK, JUDITH 01/24/2006 07/19/2006 01/31/2007 OTHER 0.00 0,00 0,00 0.00 0,00 CLOSED 71 JELLINEK, PETER ^2 JONES, SANAA 01/24/2006 07/19/2006 01/31/2007 OTHER ! i 07/13/2006 01/05/2007 08/30/2007 VEHICLE COLLISION 0,00 0,00' aoo o,oo! 0,00 0,00 0,00| 0,00 0,00[ CLOSED 0,00 CLOSED 7g^REWITZ, ROSS AND 7,4,^ROLY, NEILA . 10/26/2006 11/29/2006 75.^STLER, MARY LOU 04/06/20071 04/16/2007 ' 7;g,,J<f(EIDMAN, JASON 06/22/2007 09/26/2007 |77 I LA COSTA DE MARBEL ^g^W^SBRISAS^pXcinCAS ' 09/28/2005 03/28/2006 ' ^9^^:^W-EDWARDS, MART ' 09/13/2007' 09/17/2007 eoinifWiS, CLAUDE I 08/13/2007 08/13/20071 §1^>-t^WIS, DIANE 07/23/2005 ' 08/17/2006! 02/20/2007 07/31/2007!SEWERWATER (TREE aoo aoo 0,00! 0,00 0,00 CLOSED 06/29/2007 11/30/2007 10/23/2007 SEWER/WATER (TREE VEHfcLE^COLLISION VEHICLE COLLISION O.OOj O.oo' 0,00 0,00j 0,00 6.o6l 0.00| o.ooi 961.47 aoO| 0.00 aoa 0.00 0.00 961.47' CLOSED CLOSED CLOSED 02/11/2003 05/14/2003 07/31/2007 OTHER 12/18/2003 0.00 O.oo: 100,000.00 129,729.46 229,729.46 CLOSED 02/07/2007:SEWER/WATER (OTHE jr-> -Tl lAM -rrM—I— rtr-1 n -ri— 11/26/2007 TRIP/FALL 08/27/2007iTREE (OTHER THAN SE 0.00 O.oo' ooot 0,00 aoo o,oo| 90,306,50 367l22' i5aoo| 8,464,67 0,00 o,oo! 98,771,17; 367.22 150.00l CLOSED CLOSED CLOSED 01/06/2006 11/26/2007 TRIP/FALL 07/19/2006 aoo 0.00 5,000.00 0.00 ^82^WIS, MARY I 83JH9IEDINA, JENNIFER j(a4<1vnDLAND, JACK ^aPl^LE, DIANA ^se>^i vfB7 PITT, TAYLOR I ^8„J»rfTMAN, TREVON 03/28/2007 11/16/2006 01/03/2007 05/24/2007; 05/17/20071 01/24/2007 06/26/2007 SEWER/WATER (TREE 11/30/2007|uW ENFORCEMENT 02/12/2007|SEWER/WATER (OTHE 0,00 OOO 6766 i-> -l-l i A M -i-i-> I—I— r->i—I A -l-l— EARSON, CAROL AND ig^>DPONYAK, KATIE ?QXf(j|ROZ, SHERRI a3/(^D0SEVlc, FRANJO g^^i^YMOND ANTHONY I 9&^VI0IV|', JONATHAN 94/^IVKIN, SHELLY -4- 10/10/2006! 05/23/2002 07/13/2006^ 07/13/2006' 12/15/2006 07/09/2003 07/31/2007 TRIP/FALL 06/29/2007lsEWER/WATER (TREE 0,00 0,00 0,00 0,00! ^.ooT 10,118,45 O.oo] 44O.O0I 0.00 0.00 0.00 5,000.00 0.00 0,00 0.00 0.001 0.00 0.06 10,118.45 0.00 440.00 CLOSED 01/05/2007 08/30/2007jVEHICLE COLLISION 01/05/20071 08/30/2007 VEHICLE COLLISION O.OOj 6.66 O.OOj 0.00; 0.00; ; 0.00 0.00 0.00 0.00 0.00 0,00 0.00 07/26/2006! 09/01/2006; 09/29/2006 04/3a/2007!VEHICLE COMPREHEN 11/14/2006 05/31/2007 VEHICLE COLLISION 09/05/2006 j 12/04/2006 09/08/2006 OI/I8/2OO7! 03/30/2007 06/29/2007 0.00 0.00 0.00 O.ool 0.00 0.00' 0.00 aool 0.00 0.00 CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED VEHICLE COLLISION SEWER/WATER (OTHE 03/01/2003 03/01/2003 08/26/20031 08/26/20031 9§}^0GEH. ANNALISA I 96LTOMAN, RAFAEL 01/31/2007 01/31/2007 TRIP/FALL TRIP/FALL 0.00| O.ool 0.00 0.00 O.OOI 23,997.00^ 0.00 139.5a 0.00 24,136,50 CLOSED CLOSED 12/04/2003 aoo 0,00 0,00 0,00 0,00! 0,00| 248,60 aool 248,60 0,00 CLOSED CLOSED 04/17/2007 04/11/2007 05/23/2007 05/24/2007! 12/31/2007 12/31/2007 TRIP/FALL LAW ENFORCEMENT 0,00 0,00 0,00 0,00 0,00 oool 0,00 0,00 0,00 0,00 CLOSED CLOSED Wednesday, April 17, 2013 LossRunClosed Page 3 of 4 City of Carlsbad Loss Run Roport OaiiB Oossd butwiMi 01/01/2807 and 12/31/2007 CJaj aimName Date of Loss Date Received Date Closed Category Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status RYAN, GAIL 07/11/2007 10/29/2007 12/17/2007 TREE (OTHER THAN SE 0,00 0.00 2,550.94 0.00 2,550.94 CLOSED W'SACHS, BRUCE 4j98'j SCALIA, MIKE IAf|-|->A»«A-|-|-|-> rtl-i A -|-|-|-\ iOer SCHOONMAKER, NANC 1 i-i-i • 1 iu^K SC 04/19/2007 04/30/2007 11/30/2007 VEHICLE COMPREHEN - : - ^1* II—1-» -Tl I A M r^/^ 02/10/2007 03/12/2007 05/17/2007 VEHICLE COMPREHEN fvivirr-//^Ti IJ—r»-TJ I A-fct 04/06/2005 04/08/2005 03/30/2007 SEWER/WATER (TREE 0.00 0.661 0.00; 0.00 O.oo] 0,00 aoo 929,61 565,08! aoo o766| 6.00! 0.00 92961 565.08 CLOSED CLOSED CLOSED HUCARD, ALICE & E 01/03/2007 01/10/2007 02/06/2007iSEWEFl/WATER (OTHE 0.00 aoo: 1,137.00 0.00 1,137.00 CLOSED t -l-l I A M -rr->i— 1— r-i I—I A -TI— 102 SCHULTZ, ROBERT 01/11/2005 01/09/2006 I03<SEARCH ENGINE OPTI 12/04/2006! 06/01/2007 WA^E\LER, GARY 05/16/2007! 05/21/2007 i 01/31/2007PTHER 07/03/2007jSEWEFWVATER (OTHE 12/31 /2007IVBHICLE^COMPREHEN i*"*!! fl— //~\-f-i If—r-t -f-i I A M rs.^ 08/10/2006! 0.00 0.00 0.00 0.00! oooj 0,00 0,00 2,406,24 0,00 0,00 I 0,00: aoo 0,00 2,406,24 0,00 CLOSED CLOSED CLOSED HAFRAN, ANNE M, 01/24/2006! 07/24/2006 01/31/2007OTHER 0,00 aoo aoo 0,00 0,00 CLOSED |v06^H, 01/24/2006 01/24/2006 01/24/20061 SHAFRAN, ISABELLE B, 4,9?^HAFRAN, MARGARET ioS^HAFRAN, REID J, MJSf^HAFRAN, STEVEN 01/24/2006 I Ifl'^EPHENS, KEVIN 03/17/2007 i iL>^TEVENS, MARGRETH ' 04/15/2007 i 12>SfREFF, GERRY 01/02/2007 07/24/2006j 07/24/2006 0712412006 01/31/2007pTHER OI/3I/2OO7I0THER 01/31/2007t6THER 0,00 0,00 0,06 0.00, 0.00; 0,00' 0.00; O.OOj oool 0,00 0.00 0.00 0.00 0.00 0.00 CLOSED CLOSED CLOSED 07/24/2006 01/31/2007 OTHER 0,00; 0,00! 0,00 0.00 0.00 CLOSED 03/19/2007 05/03/2007] OI/O2/2OO7I 06/29/2007jSEWER/WATER (TREE 06/19/2007 LAW ENFORCEMENT 02/27/2007TvEHICLE COLLISION 0.00 --I 0.00 aool aoo aoo; 8,134.53 1,27560^ 1,321.311 1,082.40 0,00 o7o6t 9,216.93 1,275.00 1,321.3^ CLOSED CLOSED CLOSED l,1>«^YMPSON, KELLEN AN nw..-^MPSON, KELLENAN" 3>mYL0R, KAREN pg>;PffoMAS, BRUCE \7j^R\FTY CAR RENTAL, 12/14/2006 01/02/2007 08/28/2007 VEHICLE COMPREHEN > '•— f^-l-l II—l-l -l-l I A M 06/22/2007, 0.00 0.00 0.00 aoo 0.00 CLOSED 11/20/2006 01/02/2007 08/28/2007 VEHICLE COMPREHEN 06/22/2007 05/30/2007 06/12/2007 08/07/2007iVEHICLE COLLISION I 10/23/2006 10/24/20061 05/31/2007|OTHEIR 0,00 6.O0I aool 0.00 0,00' oool 0,00 1,826,79^ aoo aoo 218.40j 0,00! 0.00 2,045 19 0.00 CLOSED CLOSED CLOSED iisJ^A •/|—n i-»AU/->r> i^nAi—r , .VELERS INDEMNIT .MrN. i->A\/>*^nr^ A n-i-i I 06/22/2007 08/16/2007 09/25/2007!VEHICLE COLLISION 12/04/2006' 05/03/20071 06/29/2007jsEWEF[yWATER (OTHE 0.00 0,00' aoo aoo! 4,141,49 81,187,65! 0,00 O.ool 4,141,49 81,187,65 CLOSED CLOSED I llg^RQUHART, IAN AND F 1^9j<JSAA, INS: FERREIRA 12/27/2006 01/22/2007 02/27/2007 TREE (OTHER THAN SE ! »Air-nAAiA-rr-jr* irtr-i AT^I~» . 11/26/2006 01/12/2007 05/17/2007 VEHICLE COLLISION I^KSVARDWELL, JEFFREY 06/18/2006 ig2^EEKS, JOHN ! 06/28/2006 iaa^lLHELM, JAYNE 10/15/2006 \;^4^{LS0K TONIA 01/03/2007 aoo 6,00! aoo 0,00 270,00j 1,463,86' 0,00! 0,00 270,00 1,463,86 CLOSED CLOSED 08/22/2006 02/28/2007 LAW ENFORCEMENT 07/13/20061 01/31/2007IVEI-IICLE COLLISION 0.00 6.00 0.00 0.00! aoo o.ool 0.00 aool 0.00 O.OOi CLOSED CLOSED 01/16/2007 01/31/2007 12/31/2007 02/27/2007 TRIP/FALL SEWERWATER (OTHE ! -0.00 0.00' 0,00 6166 0,00 363,99 0,00 0,00' 0,00, 363.99 CLOSED CLOSED ' Totals aoo 0.00 412,218.01 154,937.71 567,155,72 Wednesday, April 17, 2013 LossRunClosed Page 4 of 4 »i!iM<inii«jj.iimi.mCT 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 il2 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 tiiat 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 (f> 13 h Page 1 of