HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2013-04-15RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: JANUARY 2013
REQUESTING DEPARTMENT: PARKS & RECREATION REQUESTER: BECKY FALK
DESTRUCTION APPROVALS:
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.
DEPARTMENT HEAD: RECORDS MANAGEMENT:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
(if applicable)
1 Class Registrations 1-2010 -
8-31-10 1130-55 CL + 2
2 Class Registrations 9-1-10-
12-31-10 1130-55 CL + 2
3 Facility Rental Applications 1-10 -
12-31-10 0900-40 CL + 2
4 Open Play Forms 1/10-
12-31-10 0900-40 CL + 2
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY
CERTIFICATE OF DESTRUCTION? • YES
SMEADSOFT BARCODES DELETED BY:
• NO
DATE: y/f^i3
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
S*" c " or Revised: 11/5/2012
CARLSBAD