HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Manager; 2009-01-06RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: C I^V
Approvals for Destruction
Date
Date
30 -
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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.BARCOD APPROVED By
City Attorney
H=HOLD
O\OD -£UiZ
Zoo
2.0034%
2.00
2-BD
2.00200
RECORD DESTRUCTION COMPLETED BY :
CERTIFICATE OF DESTRUCTION? Yes [3 No D
SMEADLINK BARCODES DELETED BY;
DATE :
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Dest
Approv
ruction: ^ lT*C\ MAN^Sgi^.
J
als for Destruction
De^ar^rnent^eaA ^
|-«^<-3vA. <L^C^G—*r
/.a^*Records Manager
^ C^
Date
Date
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.
Person(s) Completing Form: »
No.
1
RECORDS DESCRIPTION ^J
Clnrt)A ~bltS
-CWK
DATED
Zoo£>
BOX
No.
c^
f\\
J§&
0100-^4
Periofl
CU-f 2L
/
/
^\
/
/L
$&~~
2003?$'
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2.00 3 r 7-
%££$?0'
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2.00 ttf
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APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY : <S>K*vad'for<Lfl-/C;p1Ad^ DATE: c*/o<c/aoc^
CERTIFICATE OF DESTRUCTION? Yes 13 No D
SMEADLINK BARCODES DELETED BY: "TAnu^ %^<*^- DATE: o\/c>?/^ooC\u w
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
CJNtAS
DOCUMENT MANAGEMENT
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CONTACT: Tanya Bjork - Phone: (760)602-2786
SERVICE PERFORMED
Pounds
Minutes
SVC'D,_ADD'L
CERTIFICATE OF DESTRUCTION
SERVICE TICKET #:
DATE:
CUSTOMER #:
SERVICE/TYPE:
NEXT SERVICE DATE:
NEXT SERVICE TYPE:
Lock(s) Present/Operable:
Clasp(s) Present/Operable:
OOG36 - 66715
01/06/2009
10284
Purge/Onsite
Not scheduled.
Not scheduled.
Yes
Yes
No
No
COMMENTS:
This certificate is to certify that Cintas Document Management will shred confidential data per customer's instructions and according to HIPAA & GLBA
regulations for the above-mentioned company. Mobile destruction services are NAID certified. Non-Paper destruction services are not NAID certified.
CUSTOMER SIGNATURE:
SERVICE REP SIGNATURE:
DATE: /
DATE:
9455 WAPLES ST • STE. 110 • SAN DIEGO, CA 921213924 • Phone: (858)678-0460 • Fax: (858)678-0894