HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Library & Cultural Arts; 2012-03-22 (3)CITY OF
CARLSBAD
Records Management
Page 1 of
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Librarv & Cultural Arts
Person(s) Completing Form: C. Sexton
APPROVALS FOR DESTRUCTION
Heather Pizzuto
Degartment Head Date
Records Manager Date
2^
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
1 Recruitment files - applications, resumes,
tests, notes
2007 0850-15
0850-25
CL+3
2&3 Recruitment files - applications, resumes.
Tests, notes
2008 0850-15
0850-25
CL+3
4 Discharged hourly employee records 2005 & 6 0810-25 TE+5
V
4 Miscellaneous transitory records from the
previous Library Director
Pre-2005 None none
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: C >
CERTIFICATE OF DESTRUCTION? /STYES Q NO
SMEADSOFT BARCODES DELETED BY:
DATE: S/ZZJ
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. Box 2077
Vista. CA 920852077
PHONE 76(^598-5700
CERTIFICATE REFERS TO INVOICE NO.
DATE:
0910631499
3/22/2012
PURGE
SERVICE LOCATION: BILLED TO:
V , Of CarfsbaMet^ofds Management
5815 Ef CaiBm«uMeal
**N0 SUR-CHi«i^E
CarlJ^ad, CA 92TO
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO.: TRUCK NO.
CUSTOME'R SERVICE REP.: |^
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
b
This year, through Shred-it's
recycling program, your firm
has saved 0 trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
SECURING YOUR OFFICE
AND THE ENVIRONMENT
HRS.: MIN.
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