HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Library & Cultural Arts; 2013-04-15 (4)^ CARLSBAD
<^ t^lp> CITY OF Records IVIanagement
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RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION;^Cr^^JtC /^I^T'^
Person(s) Completing Form: f
APPROVALS FOR DESTRUCTION
Department Head
Records Manager
Date ^
City Attorney
Date
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.
-Bt5x
NO.
RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFf
BARCODE
(if applicable)
APPROVED By
City Attorney
H=HOLD
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION? • YES
SMEADSOFT BARCODES DELETED BY:
• NO
DATE:
DATE:
(qi3
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009