HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Building; 2011-10-19Shred-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
^CARLSBAD
^0'^? CITY OF Records Management
Page 1 of 2
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: BuildinR
Person(s) Completing Form: kf4U^^a>rVlDW^ ^ V4>4Wjj'^^(2vu^
APPROVALS FOR DESTRUCTION
Dat?
Crty Attorney
IL
Date
We certify that the 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
PBR^
SMEADSOFT
BARCODE
(if applicable)
APPROVED By
City Attorney
H^HOLD
19?? ,
» J "—9— • OH o^'f^ (/M
i/a^ Wo3^y
/o/os
G/n<
1
— 4-
Management Program
records in accordance with the City of Carlsbad Records
Revised 12/23/2009
CITY OF
^CARLSBAD
Records Management
Page 1 of 2
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION; Building
Person(s) Completing Form:
APPROVALS FOR D£«fRUaiON
Department Head Date
Records Manat Date
(jJ<^ttorney Date
We certifytttat the 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
OS76-36>
1
1, '
3/0
7/09'
ul0(/> ir'
04 0^7
i r
This form documents the destruction of City
Management Program
records in accordance with the City of Carlsbad Records
Revised 12/23/2009
<C^^ CITY OF
CARLSBAD
Records Management
Page 1 of 2
RECORDS DESTRUCTION AUTHORIZATIj
DEPARTMENT REQUESTING DESTRUCTION: Buildim
Person(s) Completing Form:
APPROVALS FO«l)ESTRUaiON
Department Head
Records Mana
We certify tM^e records listed below have been retained forthe scheduled retention period, required audits have
been c^pleted, 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
19??, ,
10 OK (LU-2
•^i-T' Ib'^C^
07- /'-/^^ 0/0-7
/,
—i*!: ^ —f —
%r
^-613^ 1?)^ . 4 ^
This form documents the destruction of City
Management Program
records in accordance with the City of Carlsbad Records
Revised 12/23/2009
<^C^> CITY OF
* CARLSBAD
Records Management
Page 1 of 2
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Building
Person{s) Completing Form:
APPROVALS FOR D^RUCTION
Department Head
Records Manage
Date
Date
Date
We certify tha^^e records listed below have been retained forthe scheduled retention period, required audits have
been coniweted, 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
0: n/
1 ' 1
3/43
, J ! ^ — — —
iir^—=1 — —
—{jJT- i —— '—' ~
W , ^—— ^
^-^
rds
Management Program Revised 12/23/2009
CITY OF
^ CARLSBAD Records Management
Page
Box
No.
Records Description DATED RRS. NO RRS
Period
Snfieadsoft
Barcode
Approved by
City Attorney
H=HOLD
»AI A-
(' 1 fM I
1
—73—7 ~ "
%^~]^^^
// ^^-l
Ol ov^\
//^^
RECOR
CERTIFK
SMEAD
D DESTRUCTION COMPLETED BY 'f^yyU(£Sl
GATE OF DESTRUCTION? Ye£S^ No • ^^-^ ' ^
LINK BARCODES DELETED BY:
DATE
DATE:
This form documents the destmction of City records in accordance with the California Public Records Act