HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2012-03-22 (5)City Clerk/Records Management
Page 1 of 1
RECORDS DESTRUCTION REQUEST
Department Requesting Destruction: Recreation /Senior Center
Approvals for Destruction
Department Head Date / '
ecords 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.
Person(s) Completing Form: Kris Westland/Senior Center 6/6/1 ^^^^^
No. RECORDS DESCRIPTION DATED BOX
No.
RRS No. RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
1. A.I.S. Grant 2004 1 0690-20 CU+5
2. A.I.S. Grant 1991-2000 2 0690-20 CU+5
3. A.I.S. Grant 2000-2001 3 0690-20 CU+5
4. A.I.S. Grant 1999 4 0690-20 CU+5
5. A.I.S. Grant 2000-2001 5 0690-20 CU+5
6. A.I.S. Grant 2000-2001 6 0690-20 CU+5
7. A.I.S. Grant 2001-2004 7 0690-20 CU+5
8. General Information 1990-2001 8 0690-05 CU+2
General Information 2005-2008 9 0690-05 CU+2
CONTINUED PAGE 2
RECORD DESTRUCTION COMPLETED BY _
CERTIFICATE OF DESTRUCTION? Ye^^ No •
SMEADLINK BARCODES DELETED BY:
DATE
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page^ofJ^^
Department Requesting Destruction: Recreation /Senior Center
Approvals for Destruction
111
Department'Head Date
Records Manager Date
Attorney IDate
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: Kris Westland/Senior Center 6/6/11
No. RECORDS DESCRIPTION DATED BOX
No.
RRS No. RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
Day-Trippers 2008 10 1130-53 CL+2
11. Facilities Use Applications 2008 11 0900-40 CU+2
RECORD DESTRUCTION COMPLETED BY :_
CERTIFICATE OF DESTRUCTION? Yes • No •
SMEADLINK BARCODES DELETED BY:
DATE :
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
WE RECYCLE ^Mmcyf USA Ific
P. O. Box 2077
Vista. CA §20852077
PHONE 760-598-57QQ
CERTIFICATE REFERS TO INVOICE NO.
DATE:
0910631499
3/22/2012
PURGE
SERVICE LOCATION: BILLED TO:
. Of Carfsb9Cl-R€^ofds .Management
5815 Ef CsnninOi^feal
**N0 SUR-CHMOE
Carfsbad, m
This is to certify that Shred-it destroyed confidential information
for the above nnentioned connpany by
TRUCK NO.:
CUSTOMER SERVICE REP.:
TRUCK NO.: TOTAL TIME:
CUENT:
PRINT CUSTOMER'S
NAME:
This year, through Shred-it's
recycling program, your firm
has saved p trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
HRS. MIN.
SECURING YOUR OFFICE
AND THE ENVIRONMENT
hhred-it