HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Council; 2012-03-22<^0^ CITY OF
CARLSBAD
Records Management
Page 1 of 1
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Ci"Vy (UxjHCi \
Person(s) Completing Form: \y^VJLS
APPROVALS FOR DESTRUCTION
Department Head
Records Manager
Date
Date
12-
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=H0LD
1
/
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
rJX
vYES • NO
DATE
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 >^jjfe(f-li USA Ifie.:
P. O. Bm 2077
Vista. CA 920852077
PHONE 76I>-598~570Q
SERVICE LOCATION: BILLED TO:
-?ly Of Cartsbai^-.Re^orcIs MaDapemi^o?
5815 EtCammoJIeal
**N0 SURrCHApSE
Carfsbad, OA §2iJ0e
CERTIFICATE REFERS TO INVOICE NO.
DATE:
D910631499
1/22/2012
PURGE
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO. TRUCK NO.:
CUSTOMER SERVICE REP.: ' / C''^ jj
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
MRS.: MIN.:
Q
This year, through Shred-it's
recycling program, your firm
has saved Q trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
SECURING YOUR OFFICE
AND THE ENVIRONMENT