HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Attorney; 2012-03-22 (5)CARLSBAD
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<^^0P CITY OF Records Management
Page 1 of 1
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Citv Attorney
Person(s) Completing Form: Robin Nuschv
APPROVALS FOR DESTRUCTION
Ronald R. Ball
Department Head
Julv 2011
Date
Records Manager
II
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=H0LD
Cad Project (31 files) 2000-2003 074005 CL+7 attached
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
SljES • NO
DATE
DATE:
:c5/2z/f?
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
WE RECYCLE 'BI\m4-iiUSAlm..
P. O. Box 2077
Vista. CA 920852077
mONE 760-598-57QQ
CERTIFICATE REFERS TO INVOICE NO.
DATE:
0910631499
3/22/2012
PUR<3E
SERVICE LOCATION: BILLED TO:
Of CarfsbaiS-Records yanaoemfaif
5815 Ef COTinctMfeal
**N0 SUR-CHM<3E
Carfsbad, CA 92IK}B
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO.:
f(/^^^ )fv1[ CUSTOMER SERVICE REP.:
TRUCK NO.:
"7 i/PiAJ^
TOTAL TIME:
CUENT:
PRINT CUSTOMER'S
NAME:
o
This year, through Shred-ifs
recycling program, your firm
has saved Q trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
HRS. MIN.
SECURING YOUR OFFICE
AND THE ENVIRONMENT