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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Building; 2012-04-18Shred-it 2230 La Mirada Drive Vista CA 92081 Phone: 760- 598- 5700 SERVICE RECORD SUMMARY CKRTIFICATK 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 ^ CARLSBAD <^,^^ CITY OF Records Management Page 1 of 3 RECORDS DESTRUCTION AUTHORIZATION DEPARTMENT REQUESTING DESTRUCTION: Building Person(s) Completing Form: Janean Hawney APPROVALS FOR DESTRUaiON Department>fead Records Managefryjudt City Attorney Date 51101 15- Date Date We certify that the records listed below have been retained forthe scheduled retention period, required audits have beefl^completed, and no pending or ongoing litigation or investigation involving these records is known to exist. NO; RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) APPROVED By City Attorney H=HOLD Box 1 fl CB850662 rVUSA^((A/VtJtHS ^/O-^ 09/17/86 0570-36 CL + 2 N/A CB830440 05/15/84 0570-36 CL + 2 N/A CB840373 10/16/84 0570-36 CL + 2 N/A CB860608 07/27/87 0570-36 CL + 2 N/A CB090078 07/09/09 0570-36 CL + 2 N/A CB060433 10/03/06 0570-36 CL + 2 N/A CB880150 12/13/88 0570-36 CL + 2 N/A CB962238 03/27/97 0570-36 CL + 2 N/A CB994483 03/09/01 0570-36 CL + 2 N/A CB981113 10/26/98 0570-36 CL + 2 N/A CB891930 06/25/90 0570-36 CL + 2 N/A CB930252 05/24/93 0570-36 CL + 2 N/A < > CB931382 09/16/94 0570-36 CL + 2 N/A This form documents the destruction of City Management Program records in accordance with the City of Carlsbad Records Revised 12/23/2009 %^l^ CITY OF CARLSBAD Records Management Page 2 of 3 Box No. Records Description DATED RRS. NO RRS Period Smeadsoft Barcode Approved by City Attorney H=HOLD CB850203 05/15/85 0570-36 CL + 2 N/A CB891392 02/05/90 0570-36 CL + 2 N/A CB012423 08/07/01 0570-36 CL + 2 N/A CB983831 01/17/00 0570-36 CL + 2 N/A CB784301 07/20/78 0570-36 CL + 2 N/A CB910854 10/08/91 0570-36 CL + 2 N/A CB072263 07/08/08 0570-36 CL + 2 N/A CB890690 11/01/89 0570-36 CL + 2 N/A CB910311 VOID 0570-36 CL + 2 N/A CB800357 08/28/80 0570-36 CL + 2 N/A CB751204 11/25/75 0570-36 CL + 2 N/A CB721005 1972 0570-36 CL + 2 N/A CB011878 11/07/01 0570-36 CL + 2 N/A CB980368 10/07/98 0570-36 CL + 2 N/A CB004225 06/07/01 0570-36 CL + 2 N/A CB004450 07/03/00 0570-36 CL + 2 N/A CB770599 1978 0570-36 CL + 2 N/A CB810074 02/11/82 0570-36 CL + 2 N/A CB761976 05/10/78 0570-36 CL + 2 N/A CB890897 08/30/90 0570-36 CL + 2 N/A CB901759 04/30/92 0570-36 CL + 2 N/A CB021152 10/23/02 0570-36 CL + 2 N/A CB062949 06/22/07 0570-36 CL + 2 N/A CB820423 07/13/83 0570-36 CL + 2 N/A CB790113 03/26/79 0570-36 CL + 2 N/A CB071943 03/09/09 0570-36 CL + 2 N/A il CB053426 05/27/08 0570-36 CL + 2 N/A 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 Records Management Page 3 of 3 r CB740489 05/23/74 0570-36 CL + 2 N/A Bl CB785501 12/20/78 0570-36 CL + 2 N/A CB013204 05/14/02 0570-36 CL + 2 N/A CB043927 11/07/06 0570-36 CL + 2 N/A CB720636 07/11/72 0570-36 CL + 2 N/A I CB961434 09/16/96 0570-36 CL + 2 N/A CB961651 11/05/96 0570-36 CL + 2 N/A j CB881070 03/02/90 0570-36 CL + 2 N/A j CB032002 03/30/04 0570-36 CL + 2 N/A CB040794 02/15/05 0570-36 CL + 2 N/A CB063518 02/12/08 0570-36 CL + 2 N/A 1 CB100096 02/24/10 0570-36 CL + 2 N/A 1 CB910286 12/09/91 0570-36 CL + 2 N/A 1 CB001387 07/25/01 0570-36 CL + 2 N/A 1 CB870531 11/07/90 0570-36 CL + 2 N/A CB840478 03/10/86 0570-36 CL + 2 N/A CB720914 07/10/72 0570-36 CL + 2 N/A CB890032 10/30/89 0570-36 CL + 2 N/A CB940517 10/18/84 0570-36 CL + 2 N/A CB721723 05/30/75 0570-36 CL + 2 N/A q CB710856 10/08/71 0570-36 CL + 2 N/A tna OT Box 1 CB930046 04/30/93 0570-36 CL + 2 N/A To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: /T • NO DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program Revised 12/23/2009