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Home My WebLink About; ; Records Destruction Authorization Form-Parks & Recreation; 2012-05-03 (2)Shred-it 2230 La Mirada Drive Vista CA 92081 Phone: 760- 598- 5700 SERVICE RECORD SUMMARY CERTIFICATE 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 4 <^ 0^ CITY OF '^CARLSBAD Records Management Page 1 of 1 RECORDS DESTRUCTION AUTHORIZATION DEPARTMENT REQUESTING DESTRUCTION: Parks & Recreation Person(s) Completing Form: Michele Hardy APPROVALS FOR DESTRUCTION Records ManageiXCrt/^' City Attorney Date Date Date We certify thatthe records listed below have been retained forthe 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 Contract Instructors Surveys 2007-2009 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? ^ SMEADSOFT BARCODES DELETED BY: YES • NO DATE: I d DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program Revised 12/23/2009 CITY OF CARLSBAD - PARKS & RECREATION DEPARTMENT CONTRACT INSTRUCTORS SURVEYS 2009 - 2007 As of 5/3/12 LAST NAME FIRST NAME DATE SURVEY COMPLETED Albaugh Travis 7/17/2009 Allen Dana 3/7/2008 Alvarado Leonardo 8/23/2007 Andersen Jessica 6/23/2008 Arias Diego 6/13/2008 Atylm Cassana 6/8/2009 Atyim Tammy 3/21/2008 Bachrad Jay 5/27/2007 Balkin Aubree 10/23/2009 Becerra Jennifer 6/8/2009 Bower Michael 10/19/2007 Bower Samuel 10/19/2007 Bower Tricia 6/2/2008 Brooks Vanessa 10/16/2009 Byrne Kevin 6/13/2008 Canneron Wyatt 9/9/2009 Caudill Joshua 6/6/2008 Chiou Ivy 7/6/2009 Cohn Morgan 6/22/2009 Collins Kaitlin 9/14/2007 Cook Natalie 6/26/2009 Corddo Matt 6/26/2009 Cruz-Dowas Rachel Marie 10/19/2007 Deller Stephen 6/13/2008 Deriso Vicki 8/22/2008 Downs Carrie 6/13/2008 Dyson-Hightower Claudia 9/25/2009 Elliot Margaret 5/5/2008 Elmer Mairin 9/28/2009 Emerson Joshua 8/23/2007 Erman Nancy 5/5/2008 Floto Sam 6/12/2009 Fortney Kathy 6/23/2008 Gatlin Connie 7/6/2009 Gatlin Rod 7/6/2009 Gillespie Robert 2/8/2009 Gillespie Sherri 6/22/2009 Given-Peruslch Wendy 2/9/2009 Gilbert Benjamin 7/6/2009 Goris Sarah 6/15/2009 Grundman Margaret 10/23/2009 H/Admin/Records Management/Contract Instructors Survey (5-3-12) mh) Hama Taylor 6/26/2009 Handelman Marcia 8/18/2008 Harris Lisa 10/23/2009 Hasselbach Sonrisa 7/6/2007 Meckel Cassandra 7/17/2009 Herbelin David 6/4/2007 Hopkins Heather 7/6/2009 Havlihan Wendy 6/23/2008 Hung Amy 9/17/2007 Inglis Rebecca 6/13/2008 Jacobson Kely 9/11/2009 Jacobson Mark 5/17/200.7 Jansen Jeffrey Mark 10/19/2007 Johnson David 12/18/2009 Jones Kristin 9/4/2009 Kang Lei 10/19/2009 Kessel Victoria 6/22/2009 King Rockwell 10/23/2009 Kirschenmann Kristin 2/8/2008 Kucumme Kacey 6/23/2008 Laing Chris 6/8/2009 Leghart Lonna 1/4/2008 Lemieux Guy 6/26/2009 Malfatto Steven 9/10/2007 Marinov Dimiter 6/29/2009 Markovich Beverly 9/10/2007 Marks Lindsay 6/22/2009 Martinez Marti 10/19/2009 McDonald Carolyn 6/6/2008 Meadows Dallas 7/6/2007 Miller Noelle 6/2/2008 Moneymaker Kodi 6/22/2009 Mulligan Robert 11/30/2009 Newman Lindsey 9/28/2009 Nguyen Phi 12/8/2008 Normen Danika 6/22/2009 Nugent Kristin 4/27/2007 Oberauer Erik 11/23/2009 Otarola Christian 6/29/2009 Owashi Jordan 6/15/2009 Paley BIythe 6/11/2007 Parizea Kimberly 9/10/2007 Peltier-Rlshmauri Karen 11/30/2007 Rhodes Irene 10/26/2009 Richter Caleb 6/2/2008 Rios Jilene 6/6/2008 Robidoux Aimee 6/2/2008 Saddington Jan 6/1/2009 Savin Micah 7/6/2009 Scarvaci Jase 9/11/2009 Shaver Barbara 6/8/2009 Sheard Deborah 10/5/2007 Sherrod Christa 11/23/2009 Smith Carrie 1/12/2009 H/Admin/Records Management/Contract Instructors Survey (5-3-12) mh) Smith Tamara 6/15/2009 Snead Leah 9/10/2007 Socks Andrea 11/16/2009 Steele Bryan 7/6/2009 Stevenson Brooke 6/6/2008 Surh Sara 6/15/2009 Szames Michelle 8/3/2007 Thomasson Shannon 6/26/2009 Todd Robert 10/26/2009 Torres Taryn 6/6/2008 Velasco Dorothy 5/29/2009 Vertullo Mary 8/23/2007 Wade Sheri 7/6/2007 Wallace Aponowicz Courtney 5/29/2009 Walsh Keith 1/26/2009 Warbrick Ashley 1/9/2009 Warner Kevin 9/17/2007 We ver George 6/26/2009 Voder Joshua 6/6/2008 York Emily 6/12/2008 Zoren Amanda 6/29/2009 H/Admin/Records Management/Contract Instructors Survey (5-3-12) mh)