HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2011-06-28 (3)CARLSBAD
Records Management
Page 1 of 1
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Parks and Recreation-Aquatics
Person(s) Completing Form: Maika Penner
APPROVALS FOR DESTRUCTION
Department Head Date
.ecords Manager Date
(^
City Attorney Date
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.
BOX
NO.
1
1
1
1
1
RECORDS DESCRIPTION
Daily Lane Use Forms
Lagoon Use Permits
User Group Billing
Daily Accounting Sheets
Swim Lesson Course Records
DATED
07-08
07-08
07-08
07-08
07-08
RRS NO.
1130-05
1130-60
1130-05
1130-55
1130-55
RRS
PERIOD
CU+2
CL+2
CU+2
CL+2
CL+2
SMEADSOFT
BARCODE
(if applicable)
*/ *\/ v
/
/LV
APPROVED By
City Attorney
H=HOLD
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
YES NO
DATE:
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
WE RECYCLE
SERVICE LOCATION:
ShrecMt USA fr
P. O; Be-
Vfete, CA
760-51
BILLED TO:
CERTIFICATE REFERS TO INVOICE NO.:
9S1Q5532§5
DATE:
Ciy Of Management
561- h :-:
Caifc,. • -.92008
>f Carts:
AttnL n&nm
1635 FJ-' . ve
Cartsba* <
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
TRUCK NO,TRUCK NO.:
CUSTOMER SERVICE REP.:.
TOTAL TIME:
CLIENT:
PRINT CUSTOMER'S
NAME:
This year, through Shred-it's
recycling program, your firm
has saved trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
HRS.:MIN.:
SECURING YOUR OFFICE
AND THE ENVIRONMENT