HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Library & Cultural Arts; 2013-04-15 (2)CilMl/lS
CITY OF CARLSBAD
23 51 FARADAY AVE
CARLSBAD, CA 920087217
CERTIFICATE OP DESTRUCTION
CONTACT: Tanya Bjork - Phone: (760)602-2786
SERVICE PEKFORHED
Pounds ^ ^
Minutes
SVC • D ADD ' L
A/ v 6 ox
SERVICE TICKET #
DATE
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SERVICE/nrpEi
NEXT SERVICE DATE:
NEXT SERVICE TYPE:
Lock(s) Present/Operable:
Clasp{s) Present/Operable:
00G36 - 228424
04/15/2013
10284
Purge/Onsite
Not scheduled.
Not scheduled,
Yes
Yes
No
No
COHHEHTBi
This certificate to certify tfaat Cintas Document Management will shred confidential data per custotner's instructions for ihc above-mentioned company. Mobile destruction
services are NAlD Cemfied. Non-Paper destruction services arc not NAID Certified.
CUSTOMER SIOHATDRE:
SERVICE REP SK^TURE:
9455 WAPLES ST* STE. 110* S : (858)678-04€0- Fax: (858)678^894
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 3/4/2013
REQUESTING DEPARTMENT: LIBRARY & CULTURAL ARTS REQUESTER: CISSIE SEXTON
DESTRUCTION APPROVALS:
W/e certify that the records listed betow/ have been retained for the scheduled retention period, required audits have been
completed, ond no pending or ongoing litigation or investigation involving these records is i<nown to exist.
DEPARTMENT HEAIK RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
SMEADSOFT BARCODE
(if applicable)
UBO\l
Part-time recruitment files and
application forms 2010 0850-25 CL+3
To be filled out ance records have been destroyed.
RECORD DESTRUaiON COMPLETED BY:
CERTIFICATE OF DESTRUCTION? • YES
SMEADSOFT BARCODES DELETED BY:
• NO
DATE
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
^ CARLSBAD
Revised: 3/4/2013