HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2013-04-15 (2)RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 1/31/13
REQUESTING DEPARTMENT: PARKS & RECREATION REQUESTER: CHRISTINA RODRIGUEZ
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 knovjn to exist.
1/ r^FnADTKilC DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
(if applicable)
03)01 Class Registrations
Open Play 2010 1130-55 CL+2
PPC02 Class Registrations, Refunds 2010 1130-55 CL+2
PI20O3 Facility Applications 2009 0090-40 CU+2
Facility Applications 2006-2008 0090-40 CU+2
Facility Applications 2009-2010 0090-40 CU+2
Enrichment Instructors 2010 1130-50 CL+2
Medical Releases 2010 1130-55 CL+2
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY
CERTIFICATE OF DESTRUCTION? [2 YES
SMEADSOFT BARCODES DELETED BY:
• NO
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
CARLSBAD Revised: 2/6/2013