HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Records Management; 2012-03-22<^'2<^> CITY OF
^CARLSBAD
RECORDS DESTRUCTION AUTHORIZATION
Records Management
Page 1 of 2
DEPARTMENT REQUESTING DESTRUCTION: Records
Person(s) Completing Form: Sonva Finlev
APPROVALS FOR DESTRUaiON
^^^epartnnent Head
i^C^ecords Manager
City 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.
BOX
NO.
RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT
BARCODE
(if applicable)
APPROVED By
City Attorney
H=HOLD
GLENN BENARD - CLAIMS 6/29/05 0745-20 CL+5
ALVARO GONZALEZ - CLAIMS 6/14/05 0745-20 CL+5
JESSICA FERGUS- CLAIMS 10/26/05 0745-20 CL+5
LESTER OLSON- CLAIMS 10/3/05 0745-20 CL+5
WILLIAM & MARSHA RIDER - CLAIMS 8/11/03 0745-20 CL+5
JUDY ANN STRAUS- CLAIMS 9/8/05 0745-20 CL+5
GLENN BENARD- CLAIMS 12/9/04 0745-20 CL+5
COAST WASTE- CLAIMS 12/09/04 0745-20 CL+5
SUSAN PODGORSKI - CLAIMS 8/11/95 0745-20 CL+5
LINZY ALVERNAZ- CLAIMS 7/17/96 0745-20 CL+5
/
SARAH J. PATTERSON- CLAIMS 10/12/93 0745-20 CL+5
J / JAMES AND SUSAN SETMIRE- CLAIMS 7/1/91 0745-20 CL+5
SEAN COONEY- CLAIMS 4/25/91 0745-20 CL+5
This form documents the destruction of City
Management Program
records in accordance with the City of Carlsbad Records
Revised 12/23/2009
<^'^ CITY OF
* CARLSBAD
Records Management
Page 2 of 2
AGENDAS-SISTER CITY 6-12/2007 0360-40 CU+2
AGENDAS-ARTS COMMISSION 1/2008-
1/2009
0310-40 CU+2
V / MISC. CORRESPONDENCE 1961-1981 0100-03 CU+2
Opportunity Grants program applications 7/08 - 6/09 CU+2
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION? f^YES
SMEADSOFT BARCODES DELETED BY: N/A_
• NO
DATE: 3^ZZ^ 12>
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:
JimMUSAlm
P. O: Box 2077
Vista. CAr20e62077
RHONE im-sm-siQQ
CERTIFICATE REFERS TO INVOICE NO.
DATE:
0910631499
3/22/2012
PURGE
BILLED TO:
Of Carls-baicf-Ref orcfs Managemeiil
5815 Ef Cainino^ai
**N0 SUR-CHAk3E
Carfsbad, OA 9m^B
o
This is to certify that Shred-it destroyed confidential infornnation
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 Q trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
HRS.: MIN.:
SECURING YOUR OFFICE
AND THE ENVIRONMENT