HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Transportation Engineering; 2012-03-22^CARLSBAD
<^^^ CITY OF
Records Management
Page 1 of.l
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING HFSTRUCTION: Transportation
Person(s) Completing Form: Rose Fonseca
APPROVALS FOR DESTRUaiON
r4/ //
Department Head Date
Records Manager Date
City Attorney 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
811 3593 Faraday Avenue Extension, 1999-2000 1000-05 CU+2
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY
CERTIFICATE OF DESTRUCTION? <H YES • NO
SMEADSOFT BARCODES DELETED BY:
DATE: ^ 122^1
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 Shmd-lt USA tftc,
P. O BfStX 2077
ViSta.CA 920852077
PHONE 760-598-5700
CERTIFICATE REFERS TO INVOICE NO.
DATE:
0910631499
1/22/2012
PURGE
SERVICE LOCATION: BILLED TO:
, Of Carfsbaa-Re^ofds Mdmgemml
5815 Ef CamlnOsJMsal
**H0 SUR-CHMSE
Carfsbad, OA 92^B
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:
CLIENT:
PRINT CUSTOMER'S
NAME:
This year, through Shred-it's
recycling program, your firm
has saved 0 trees from destruction.
CERTIFICATE OF..,
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
HRS. MIN.:
I I
SECURING YOUR OFFICE hhred-it
AND THE ENVIRONMENT