HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Building; 2012-03-22 (11)<^0^> CITY OF
* CARLSBAD
®
Records Management
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RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTINGJ^STRUaiON::JdiIVlS f
Person(s) Completing Form: V^^4V\ CLr<2_s-ce nrV\
APPROVALS FOR DESTRUaiON
UL
Deoartment Head Date
Date
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 CODE ENFORCEMENT CASES 1999 0575-15 AU+7
To be filled out once records have been destroyed.
RECORD DESTRUaiON COMPLETED BY: j^^jr\i^^!h- iT
CERTIFICATE OF DESTRUCTION? /^YES • NO
SMEADSOFT BARCODES DELETED BY:
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 Inc..
P. O. Box 2077
ViSta. CA92CB52077
mONE 76Q-598-570Q
CERTIFICATE REFERS TO INVOICE NO.
DATE:
0910631499
3/22/2012
PURGE
SERVICE LOCATION: BILLED TO:
^% Of Cartsb?*iS-Re^ords yaflaoemfinf
5815 Ef Camino^al
**N0 aUR-CH%3E
Carfsbad, CA 9m)B
o
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO.:
[(/UU
CUSTOMER SERVICE REP.:
TRUCK NO.: TOTAL TIME: HRS.: MIN.
CLIENT:
PRINT CUSTOMER'S
NAME: Y^ O^^-
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