HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Building; 2012-03-22<A^^ CITY OF
^CARLSBAD
Records Management
Page 1 of 4
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Building
Person(s) Completing Fornn: Laura Moore
APPROVALS FOR DESTRUaiON
Records Manager
City Attorney
Date
Date '
(^ ^<s> > ^^^^^
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
or \
CB071946 "^COHL^S 10/08
CB950707 9/95
CB800742 6/82
Cb082058 09/09
CB021131 12/02
Cb051372 02/06 t
CB980185 EXP
CB972713 05/98 r
CB830454 09/83
CB992798 02/01
CB993796 12/99
CB992107 9/99
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
%^IP> CITY OF
^CARLSBAD
Records Management
Page 2 of 4
CB891224 EXP
CB930156 02/95
CB081833 10/08
CB091762 11/09
CB788526 01/79
CB001296 12/01
CB870704 EXP
CB890473 07/89
CB060486 02/07 1 CB071252 10/08 1 CB800070 ??
CB071025 EXPIRED
CB870105 05/87
Cb060685 02/07
CB800901 EXP
CB790937 7/79
CB990431 12/99
CB992296 10/99
CB777903^ VOID
CB791168 02/80
CB785721 11/80
CB052534 07/05
CB032827 04/04
CB920161 11/92
CB040821 /PCR04228/PCR04201 12/08
CB820282 08/82
CB961244 07/96
CB030583 04/03
CB080596 12/09 1
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
<^ 0^ CITY OF
* CARLSBAD
Records Management
Page 3 of 4
CB920897 12/92
CB031110 10/03
CB033192 04/04
CB030381 02/03
CB961245 07/96
CB901193 01/91
CB910933 10/91
CB991424 EXP
CB786157 10/79
Cb080807 08/08
CB080661 08/08
CB810506 12/81
CB810542 12/81
Cb070158 EXPIRED
CB950442 05/95
CB850707 EXP
CB840239 05/84
CB042593 06/05
CB951581 07/96
CB901834 02/91
CB891490 11/89
CB850773 04/88
CB020494 01/03
CB961231 08/96
CB941254 12/94
CB080802 06/08
CB840177 11/84
CB041373 10/04
CB080888 07/08
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
CITY OF
'^CARLSBAD
Records Management
Page 4 of 4
CB020449 05/03
CB052727 02/06
CB053351 01/06
CB054090 04/06
CB032941 06/04
CB041127 07/05
CB043686 03/05
CB054309 05/06
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
5^ YES • NO
DATE: 3/22^
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:
/
wH^d-rt USA Ifie. • • •
p. O. BosK 2077
Vista. OA 92D852077
WONE 760-5985700
CERTIFICATE REFERS TO INVOICE NO.:
DATE:
0910631499
3/22/2012
PURGE
BILLED TO:
k , Of Carfsbs^if-Refords Maiiagemf^n*
5815 Ef Cammo-Meal
**N0 SUR-CHAg3E
Carfsbad, 0^ %WM
This is to certify that Shred-it destroyed confidential information
for the above nnentioned company by
TRUCK NO.: TRUCK NO. xK
CUSTOMER SERVICE REP.: ' ] 1/i^^&r^
TOTAL TIME:
CLIENT
PRINT CUSTOMER'S
NAME:
This year, through Shred-it's
recycling program, your firm
has saved g trees from destruction.
CERTIFICATE OF
DESTRUCTION!
THANK YOU FOR
YOUR BUSINESS.
HRS.: MIN.
SECURING YOUR OFFICE hhred-it
AND THE ENVIRONMENT