HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Manager; 2011-06-28CITY OF
CARLSBAD
Records Management
Page 1 of 1
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION:
Person(s) Completing Form:-^Q2 ^
APPROVALS FOR DESTRUCTION
Department Head Date
Manager
City Attorney
Date
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Date
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.
BOX
NO.
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00
RECORDS DESCRIPTION
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DATED
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RRS NO.
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RRS
PERIOD
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SMEADSOFT
BARCODE
(if applicable)
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APPROVED By
City Attorney
H=HOLD
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY*
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARDCODES DELETED BY:
YES ^NO
DATE:
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
WE RECYCLE
SERVICE LOCATION:
Vfeta, CA
PHONE
BILLED TO:
CERTIFICATE REFERS TO INVOICE NO.:
DATE:
Cty Of Carlsbad-Records Management
5815 El Camiio Real
**NO SUR-CHA-
Cty Of Carlsbad
AttnL Ronoa Striekrod
'= Faraday/s i
Carts!
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO,TRUCK NO.:TOTAL TIME:MRS.:MIN.:
CUSTOMER SERVICE REP.:.
CLIENT:
PRINT CUSTOMER'S
NAME:
This year, through Shred-it's
recycling program, your firm
has saved trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
SECURING YOUR OFFICE ?/ireef-/i
ENVIRONMENT