HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2012-02-14Shred-it
2230 La Mirada Drive
Vista CA
92081
Phone: 760- 598- 5700
SERVICE RECORD SUMMARY
CRRHFICATK 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
, 4k.
CARLSBAD
Records Manageni^nt—
Page 1 of 2
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Parks & Recreation
Person(s) Completing Form: Christina Rodriguez
APPROVALS FOR DESTRUaiON
C72-' (^. v-Z,
Date 7-11411"^
Records Manager Date
City Attorney 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=HOLD
1 Winter/Spring Registrations 2006/
2007
1130-55 CL+2
2 Winter Open Play, AP Batches, Daily Reports 2007 1130-55 CL+2
3 Summer Registrations 2007 1130-55 CL+2
4 Summer Medical Release Forms 2007 130-55 CL+2
5 Fall Registrations 2007 1130-55 CL+2
6 Spring Registrations 2008 1130-55 CL+2
7 Summer Medical Release Forms 2008 1130-55 CL+2
8 Fall Registration Forms, AP Batches 2008 1130-55 CL+2
9 Winter/Spring Registrations 2009 1130-55 CL+2
10 Summer Registrations 2009 1130-55 CL+2
11 Grad Nite Files 1998-
2006
1130-20 CL+2
12 Grad Nite Files, Employee Files 1998-
2006
1130-20 CL+2
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
^ CARLSBAD
-X I-"/ CITY OF Records Management
Page 2 of 2
13 Retired Instructor Files 2001-
2004
1130-50 CL+2
14 Retired Instructor Files 2004-
2005
1130-50 CL+2
15 Retired Instructor Files 2006-
2007
1130-50 CL+2
16 Retired Instructor Files 2001-
2007
1130-50 CL+2
17 Expired Instructor Contracts AB-LE 2006-
2007
1130-50 CL+2
18
i
Expired Instructor Contracts LE-SE 2006-
2007
1130-50 CL+2
Expired Instructor Contracts PE-Z 2006-
2007
1130-50 CL+2
20 Instructor Documentation Thru
2008
1130-50 CL+2
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
ir YES • NO
DATE:_[£
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009