HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Library & Cultural Arts; 2012-03-22^ CARLSBAD
Records Management
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RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION:
Person(s) Comoleting Form: /
APPROVALS FOR DESTRUaiON
Department Head Date
Records Manager
<^
Date
City 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.
BOX
NO.
RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT
BARCODE
(if applicable)
APPROVED By
City Attorney
H=HOLD
/ HI-
CL.
•S
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
'ES • NO
DATE: 3^27J
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
P. O. Bm 2077
Vista. CA 920852077
PHONE 760-598-570Q
CERTIFICATE REFERS TO INVOICE NO.: iq^lQff^lAflB
DATE: 1/22/2012
PURGE
SERVICE LOCATION: BILLED TO:
5815 Et Caininc^al
**N0 SUR-CHMGE
Carfsbad, OA 92IK)B
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO.: TRUCK NO.:
CUSTOMER SERVICE REP.: ^ ] ir'^t^-^
o
TOTAL TIME:
CUENT:
PRINT CUSTOMER'S
NAME:
This year, through Shred-it's
recycling program, your firm
has saved 0 trees from destruction.
CERTIFICATE OF
DESTRUCTION
HRS. MIN.
THANK YOU FOR
YOUR BUSINESS.
SECURING YOUR OFFICE
AND THE ENVIRONMENT