HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Records Management; 2012-05-28Shred-it
2230 La Mirada Drive
Vista CA
92081
Phone: 760- 598- 5700
SERVICE RECORD SUMMARY
CERTinCATE OF DESTRUCTION
PLEASE KEEP THIS FOR YOUR RECORDS
(THIS IS NOT AN INVOICE)
This year your firm has saved 29.93
trees through recycling shredded paper.
Customer: 0011889293
CITY OF CARLSBAD- RECORDS MANAGEMENT
5815 EL CAMINO REAL
CARLSBAD CA 92008- 8801
Order#: 8005646960
Order Date: 26.06.2012
Customer PO:
Service Type: ON SITE PURGE
Contact: SONYA FINLEY
Time In: 10:46 AM
Time Out: 02:10 PM
Material Collected Qty
BANKERS/ARCHIVE BOX 187
Total: 187
Service Time: 174 Min
CSR Non- ServiceTime: 29
Customer Signature: SONYA
CSR Signature: JAIME CONNELL
<\^^ CITY OF
^CARLSBAD
RECORDS DESTRUCTION AUTHORIZATION
/ /3o<
Records Management
Page 1 of 2
DEPARTMENT REQUESTING DESTRUCTION: RECORDS MANAGEMENT
Person(s) Completing Form: SONYA FINLEY
APPROVALS FOR DESTRUCTION
Date
Records Managemei
City Attorney
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.
*MISC RECOREDS
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT
BARCODE
(if applicable)
APPROVED By
City Attorney
H=HOLD
RMOOlO YAMADA ENTERPRISES 2/11/05 0700-16 TE+5 K0204237
RMOOlO AFFIDAVIT OF PUBLIC NOTICE 6/21/77 0740-20 CU+4
RMOOlO PROOF OF PUBLICATION 9/7/85 0740-20 CU+4
RMOOlO FOLDER: APPRAISALS 11/1989 0770-10 CL-H2
RMOOlO FOLDER: PUBLIC RECORDS REQUESTS 1/09-
6/09
0130-50 CL-H2 K0207465
RMOOlO FOLDER: PUBLIC RECORDS REQUESTS
#1
7/09-
12/09
0130-50 CL-H2 K0207530
RMOOlO REGULATORY AGENCY/ALCOHOLIC 2008 0230-70 CU-i-2 K0207336
RMOOlO REGULATORY AGENCY/ALCOHOLIC 2009 0230-70 CU+2 K0207482
RMOOlO FOLDER: PUBLIC RECORDS REQUESTS
#2
7/09-
12/09
0130-50 CL+2 K0207553
RMOOlO REGULATORY AGENCY/PUBLIC UTIL 2008 0230-70 CU+2 K0207351
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
CARLSBAD
Records Management
Page 2 of 2
RMOOlO REGULATORY AGENCY/PUBLIC UTIL 2009 0230-70 CU+2 K0207502
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY
CERTIFICATE OF DESTRUCTION? ^ YES • NO
SMEADSOFT BARCODES DELETED S\-J^&l^{^CUj^{{]
DATE: (j?^2,U^
DATE:c^^7//Z^
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009