HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2012-03-22RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: _PARKS AND RECREATION,
Approvals for Destruction
Degartment HeadV' Date
Records Manager Date
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.
Jessica Field , Recreation Supervisor (^^^ zl^^\<^
Person(s) Completing Form:
No. RECORDS DESCRIPTION DATED BOX
No.
RRS No. RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
1 SPECIAL EVENT
Miscellaneous Special Events
2009 N/A 0670-75
CL+2
N/A N/A
2 SPECIAL EVENT
Miscellaneous Notes for Special Events
2009 N/A 0670-75
CL+2
N/A N/A
3 SPECIAL EVENT
CVDF Walk & Health Expo
2009 N/A 0670-75
CL+2
N/A N/A
4 SPECIAL EVENT
Cystic Fibrosis Walk
2009 N/A 0670-75
CL+2
N/A N/A
5 SPECIAL EVENT
FD Open House TCP
2009 N/A 0670-75
CL+2
N/A N/A
6 SPECIAL EVENT
March of Dimes Walk
2009 N/A 0670-75
CL+2
N/A N/A
7
8
RECORD DESTRUCTION COMPLETED BY :_
CERTinCATE OF DESTRUCTION? Ye^®y^ No •
SMEADLINK BARCODES DELETED BY:
DATE t2L
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
WE RECYCiE ^mB<jh{i USA Inc.
P. o: Bm Q&77
Vista.
PHONE 76Q-598-57QQ
CERTIFICATE REFERS TO INVOICE NO.:
DATE:
0910§31499
PURGE
SERVICE LOCATION: BILLED TO:
5815 Ef Cantma-sMeal
**N0 aURrCHAReE
Carfsbad, OA 92IJ0e
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO.: TRUCK NO.:
f(7UU
CUSTOMER SERVICE REP.:
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
HRS.
o
This year, through Shred-it's
recycling program, your firm
has saved Q trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
MIN.:
SECURING YOUR OFFICE
AND THE ENVIRONMENT