HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Transportation Engineering; 2012-03-22 (5)Q
<^^> 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
Department Head Hea^
J4// 'dk
Date
ecords Manager
City Attorney
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 known to exist.
,5^ >»V
BOX
NO.
RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT
BARCODE
(if applicable)
APPROVED By
City Attorney
H=HOLD
27 3151 Palomar Airport Road West AD, 3108
Tamarack Ave Highland to Carlsbad, 3190
Rancho Santa Fe Road Improvements,
3593 Faraday Avenue Extension
1986-2000 1000-05 CU+2
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY
CERTIFICATE OF DESTRUCTION? YES
SMEADSOFT BARCODES DELETED BY:
• NO
DATE : S/W
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:
w^lirec^lt i nCl-
ip. O. Box 2077
Vista. CA 920852077
PHONE 760-598-5700
CERTIFICATE REFERS TO INVOICE NO.
DATE:
0910631499
3/22/2012
PURGE
BILLED TO:
v% Of Carfsbati-Refofds Management
5815 ErCsHfninoJ^at
**N0 aURrCH^E
Carfsbad, Ok %W3%
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO. TRUCK NO.
d
CUSTOMER SERVICE REP.: ' ] f/--Ji.y'S^^ J) 4
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
This year, through Shred-it's
recycling program, your firm
has saved 0 trees from destruction.
CERTIFICATE OF...
DESTRUCTTON
HRS.: MIN.
THANK YOU FOR
YOUR BUSINESS.
SECURING YOUR OFFICE
AND THE ENVIRONMENT
hhred-it