HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2012-03-22 (4)' <C^^ C ' T Y OF
^ CARLSBAD
Records Management
Page 1 of 2
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Parks and Recreation, Harding Center.
Person(s) Completing Form: Kristie Young
APPROVALS FOR DESTRUCTION
Djgpartment Head
Records Managey^^nJ-
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 Igwwn to exist. f7
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADS0l»t-^
BARCODE
(if applicable)
APPROVED By
City Attorney
H=HOLD
1200 Employment Applications 2004-
2008
0850-25 CL+3
1202 Special Events ^ 2004-
2008
1130-20 CL+2 J
1203 Class Registration Forms ^ 2007-
2008
1130-55 CL+2 4
1204 Facility Use Applications /
v
2007-
2008
0900-40 CU+2 /
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION? [g^YES •~N0~
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 Sflf@(l-tt USA Inc
P. O. Bm 2^7
ViSia.CA 920852077
mONE 76C^598~57QQ
CERTIFICATE REFERS TO INVOICE NO.
DATE:
0910631499
3/22/2012
PURGE
SERVICE LOCATION: BILLED TO:
Of Cailsbiiia Records yai)aaf^m?-nf
5815 Ef CafBino-aeal
**N0 SUR-^CHMGE
Carfsbad, m
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO.: TRUCK NO.
(JC/
CUSTOMER SERVICE REP.: ' | ^^^<^t <V
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
a
This year, through Shred-it's
recycling program, your firm
has saved § trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
HRS.: MIN.
SECURING YOUR OFFICE
AND THE ENVIRONMENT
hhred-it