HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2013-04-15 (3)RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 1/12/13
REQUESTING DEPARTMENT: PARKS & REC-AQUATICS REQUESTER: MAJKA PENNER X4685
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: Cir^T^froRNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
(if applicable)
Ai)0OIO Daily Lane Use Forms 09-10 1130-05 CU+2
AQOOll Lagoon Use Permits 2010 1130-60 CL+2
AOOOIl Swim Lesson Waivers/Records 09-10 1130-55 CL+2
AQOOll User Group Billing 09-10 1130-60 CL+2
AODOIl Facility Use Applications 09-10 0900-40 CU+2
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY
CERTIFICATE OF DESTRUCTION? Q^ES
SMEADSOFT BARCODES DELETED BY:
• NO
DATE:V//^3
DATE:
^ CARLSBAD
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 1/11/2013