HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Records Management; 2012-03-22 (4)City Clerk/Records Management
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RECORDS DESTRUCTION REQUEST
Department Requesting Destruction:
Approvals for Destruction
Department Head
Records Manager
Attorney
Date
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.
Person(s) Completing Form:
No. RECORDS DESCRiPTION DATED BOX
No.
RRS No. RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
Donna L. Robinson - C \ 01/31/2005 0745-20 CL+5
Allison Rue - C^AVM<> 02/28/2005 0745-20 CL+5
Bob & Judy St. Austin ^ CXA-liMS 01/31/2005 0745-20 CL+5
Barbara J. Stewart C-l AI tAS 01/31/2005 0745-20 CL+5
N. June Dansby Trask - C\ At i*^S 03/31/2006 0745-20 CL+5
Juan Manuel Villanueva — CI At^f^S 06/30/2006 0745-20 CL+5
Randy Wilson ^ C-L-A i 04/29/2005 0745-20 CL+5
Tom Wittkoski UA i ivi 01/31/2005 0745-20 CL+5
<^ y Bianga R. Zincavage - CLA» A\S 03/31/2006 0745-20 CL+5
RECORD DESTRUCTION COMPLETED BY i^y-^gjSli^'^
CERTIFICATE OF DESTRUCTION? Ye|jSv No •
SMEADLINK BARCODES DELETED BY;
D ATE : 01 \ ^ iZ-
DATE:
This form documents the destmction of City records in accordance with the Califomia Public Records Act
Revised 08/25/2005
WE RECYCLE SfiretM USA Inc.
Vista. CA 920862077
WCNNE 7GQ-598-57QQ
CERTIFICATE REFERS TO INVOICE NO.:
DATE:
0910B31499
3/22/2012
PURGE
SERVICE LOCATION: BILLED TO:
Of CartsbalS-Re^ords Mdmgemml
5815 Ef C^moJ^ai
**N0 SURrCHi^E
Carfsbad, OA m
TRUCK NO.:
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO.
CUSTOMER SERVICE REP.:
a 6
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
This year, through Shred-it's
recycling program, your firm
has saved Q trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
HRS. MIN.
SECURING YOUR OFFICE
AND THE ENVIRONMENT