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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Manager; 2005-01-064 City ClerkRecords Management Page 1 of 1 NOTE : City records on “Hold” cannot be destroyed. , This form documents the destruction of City records in accordance with the California Public Records Act RECORDS DESTRUCTION REQUEST Date Approved for Destruction b-ck 1 BL I Department Head ‘ dCity Records Manager . City Attorney Date Total of records approved for destruction: 10 &7- I 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 1 I I I I I I I -0 DOCUMENT DESTRUCTION PROVIDED BY : v DT :No)&/b” I I 0 130-25/F005 CERTIFICATE OF DEST~UCTION? Yes ON THE DATE SHOWN, DESIGNATED CONFIDENTIAL DATA WAS SHREDDED AND DESTROYED AS PER CUSTOMER’S INSTRUCTIONS. TRUCK NO.: TOTAL TIME ..,..... THIS YEAR YOUR SAVED THROUGH SHRED-IT’S RECY 1 __ INVOICE NO.: REF. NO.: 009 10 1 12’3175 TG” F:C):-*tE 2 Cp -r ‘33i1284 :3 k; f ‘5 h,lin Ii3r;;~. -IC DATE: SALES PERSON: MW 11 G12EIOF; I COMPANY NAME: city Of earistjad CONTACT: Lief,- rijs ##: 7j4l-J u- ,P I Q ALTERNATE: PH: SERVICE REQUIRED: CUST. TYPE: EST. HOURS: START AT: OFFICE HOURS: -,n- d_ ENTRANCE: L, - 13 SITE DIRECTeNS: - ‘ LOCATI&O#~SOLES: OAK GRY r f 1-5 s’; I *-zJ”g‘taa +,’ Is;? z- ,E’ BIN L.P. c\r, hw*fl- 1 odby S.P. > SERVICE PROMISED: c SPECIAL INSTRUCTIONS: d c‘ zfsq6i-l?! 12 f-? i7 -r i-, I - H*S c *I J 4-l- f1-E -c -