HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Utilities; 2012-03-22<^W^' CITY OF
^ CARLSBAD
Records Management """^
Page 1 of 1
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Utility
Person{s) Completing Form: Jayme Foster
APPROVALS FOR DESTRUaiON
Department Head
Records Manager
City Attorney
Dat/ '
Date
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 l<nown to exist.
BOX
NO.
RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT
BARCODE
(if applicable)
APPROVED By
City Attorney
H=HOLD
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY
CERTIFICATE OF DESTRUCTION? Cp^YES
SMEADSOFT BARCODES DELETED BY:
NO
DATE
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records
IVIanagement Program
Revised 12/23/2009
WE RECYCLE
O. Box 2077
ViSt3.CA§2{B52077
PHONE 760-598-57QQ
CERTIFICATE REFERS TO INVOICE NO.
DATE:
)631499
3/22/2012
PURGE
SERVICE LOCATION: BILLED TO:
6815 Ef CaiBinoJtfeal
Cailsbacf, OA §21^8
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO.: TRUCK NO.
fr/i'u
CUSTOMER SERVICE REP.:
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
HRS.: MIN.
o
This year, through Shred-it's
recycling program, your firm
has saved 0 trees from destruction.
CERTIFICATE OF
DESTRUCTION
T H A N K Y O U F O R
YOUR BUSINESS. '
SECURING YOUR OFFICE
AND THE ENVIRONMENT