HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2011-06-28RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: Recreation/Stagecoach Community Center
Appro^aJsJor Destruction
Jan 10. 2011
Department Head Date
ecords Manager Date
DateAttorney
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.
Person(s) Completing Form: Becky Falk
No.
1
2
3
4
RECORDS DESCRIPTION
Class Registrations
Class Registrations
Facility Rental Applications
Open Play Forms
DATED
1/08-
6/30/08
7/08-
12/08
1/08-
12/08
7/08
BOX
No.
1
2
3
4
RRS No.
1130-55
1130-55
0900-40
0900-40
RRS
Period
CL+2
CL+2
CL + 2
CL + 2
BARCODE
*/ \
/
^y
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :_
CERTIFICATE OF DESTRUCTION? YesStfj No |~j
DATE : 6
SMEADLINK BARCODES DELETED BY:IA DATE:
T/J/S form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
WE RECYCLE
SERVICE LOCATION:
Shr. !
Visfc
PHONE
BILLED TO:
CERTIFICATE REFERS TO INVOICE NO.:
DATE:
PI)?
Ctty CM" CatMiad-Reconfe Manage \
581' Ei --:oReal
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Striclrod
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This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO,TRUCK NO.:
CUSTOMER SERVICE REP.o
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
MRS.:MIN.:
This year, through Shred-it's
recycling program, your firm
has saved trees from destruction.
CERTIFICATE OF
DESTRUCTION
THAN K YOU FOR
YOUR BUSINESS.
SECURING YOUR OFFICE ftred-Jt
ENVIRONMENT