HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2012-03-22 (6)City Clerk/Records Management
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RECORDS DESTRUCTION REQUEST
Department Requesting Destruction: Parks &Recreation
Gian Lauio
Approvals for Destruction
Jan 12,2012
Department Head
Records Manager
Attorney
Date
Date
/ - -^O • 12.
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.
Person(s) Completing Form: Becky Falk
No. RECORDS DESCRIPTION DATED BOX
No.
RRS No. RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
1 Class Registrations 1/09-
6//09
1 1130-55 CL+2
2 Class Registrations 7/09-
12/09
2 1130-55 CL+2
3 Facility Rental Applications 1/09-
12/09
3 0900-40 CL + 2
4 Open Play Forms 1/09-1/10 4 0900-40 CL + 2
RECORD DESTRUCTION COMPLETED BY : 1^^^^fe-^7^
CERTIFICATE OF DESTRUCTION? Yes^^ No •
SMEADLINK BARCODES DELETED BY:
DATE :c5/23/
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
WE RECYCLE jimPHUSAinc
' P.O. Bm2N7
Visia. CA 92{B52077
PHONE 760-598 57QQ
SERVICE LOCATION: BILLED TO:
S815 Et CaminoJ^al
**N0 SUR-CHMGE
Carfsbad, 0^ 9m^B
CERTIFICATE REFERS TO INVOICE NO.:
DATE:
0910631499
3f22f2Qn
PURGE
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO. TRUCK NO.:
CUSTOMER SERVICE REP.:
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
HRS. MIN
-5
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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 i hhred-it