HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Transportation Engineering; 2012-03-22 (2)<^ 0^ CITY OF
^CARLSBAD Records Managcmc...
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RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Transportation
Person{s) Completing Form: Rose Fonseca
APPROVALS FOR DESTRUCTION
Department Head
ij^^ecords Manager
^ ciS^
Date
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.
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BOX RECORDS DESCRIPTION DATED RRS NO. RRS SMEADSOFT APPROVED By
NO. PERIOD BARCODE City Attorney
(if applicable) H=HOLD
432 87-6607/3347 Water Relocation -
Streetscape V, 3814 Cannon Road Reach 4,
3401 Landscaping for PAR West AD, 3151
Palomar Airport Road West AD
1986-1996 1000-05 CU+2
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
YES • NO
DATE: ^^ZzjlZ^
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. Bm 2mi
Visla.CA 920852077
PHONE 760-598-5700
CERTIFICATE REFERS TO INVOICE NO.
DATE:
0910631499
3/22/2012
PURGE
SERVICE LOCATION:
. Of Carfsba^-Re^ords MaDagemenl
5815 Ef Camincu^al
**W0 SUR-CHi^gC3E
Carfsbad, OA
BILLED TO:
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO.: TRUCK NO.:
CUSTOMER SERVICE REP.:
o
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
HRS. 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