HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Transportation Engineering; 2012-03-22 (4)(D-
<^ CITY OF
^ CARLSBAD
Records Management
Page 1 of 1
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Transportation
Person(s) Completing Form: Rose Fonseca
APPROVALS FOR DESTRUCTION
Departmont Head
.ft 5 > / ^
Date
ecords Manager
City Attorney
l--2l-(l
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.
RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT
BARCODE
(if applicable)
APPROVED By
City Attorney
H=HOLD
38 3188 NBS College AD, 3603 ECR & Orion
Street
1986-2000 1000-05 CU+2
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: QR^^b- IT
CERTIFICATE OF DESTRUCTION? jQv^ES
SMEADSOFT BARCODES DELETED BY:
• NO
DATE: 5]Z2^I 1^
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
P. O. Bisx 2077
Vista. 920852077
PHONE 76(^598-5700
CERTIFICATE REFERS TO INVOICE NO.
DATE:
0910031490
3/22/2012
PURGE
SERVICE LOCATION: BILLED TO:
5815 Ef Camino^al
**H0 SUR"CHM<3E
Cartsbad, OA §2B0e
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO.: TRUCK NO.
CUSTOMER SERVICE REP.:
TOTAL TIME: HRS.:
CLIENT:
PRINT CUSTOMER'S
NAME: 4 ^ -^Ui-
MIN.
This year, through Shred-it's
recycling program, your firm
has saved Q trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
SECURING YOUR OFFICE
AND THE ENVIRONMENT