HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2009-05-19RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of I
Department Requesting Destruction:- CaVa \J
for Destruction
Department Head Date
Records Manager 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: O^K^^O^ <S<2_\or\A c -^ Sy^
No.
1
2
3
4
5
RECORDS DESCRIPTION
Enrichment Classes/Camps
Enrichment Payment Requests/Class Evals.
Summer Registration Forms
and Open Play
Fall Registration Forms
Winter/Spring Registration Forms
DATED
1999-
2003
2004-
2006
2006
2006
2006
BOX
No.
1
2
3
4
5
RRS No.
1130-50
1130-50
1130-55
1130-55
1130-55
RRS
Period
CL+2
CL+2
CL+2
CL+2
CL+2
BARCODE APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY ;
CERTIFICATE OF DESTRUCTION? Yes ET No H
DATE :
SMEADLINK BARCODES DELETED BY;DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 1 of 1
RECORDS DESTRUCTION REQUEST
Department Requesting Destruction: Stagecoach Community Center
Approvals for Destruction
D. ^o
Department Head Date
|f|J<Kecords Manager 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: Becky Falk //-<L*?>>/
No.
1
2
3
4
5
6
RECORDS DESCRIPTION
Class Registrations
Class Registrations
Class Registrations
Class Registrations
Facility Rental Applications
Open play forms
DATED
1/6:
9/06
10/06
12/06
8/05
12/05
1/05
4/05
1/06
12/06
1/06
12/06
BOX
No.
1
2
3
4
5
6
RRS No.
1130-55
1130-55
1130-55
1130-55
0900-40
0900-40
RRS
Period
CL+2
CL+2
CL+2
CL+2
CL+2
CL+2
BARCODE APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY : C\ <vV<3 ^ ~\>>co r^Q
CERTIFICATE OF DESTRUCTION? Yes P No D
SMEADLINK BARCODES DELETED BY: f\/Sf
A\ /YV/w-V DATE : o^/l'VSkiOS^ ' /
DATE: <\/£
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
ciNiAs
DOCUMENT MANAGEMENT
CERTIFICATE OF DESTRUCTION
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CONTACT: Tanya Bjork - Phone: (760)602-2786
SERVICE PERFORMED
Pounds
Minutes
VC ' D ADD ' L
SERVICE TICKET #:
DATE:
CUSTOMER #:
SERVICE/TYPE:
NEXT SERVICE DATE:
NEXT SERVICE TYPE:
Lock(s) Present/Operable:
Clasp(s) Present/Operable:
OOG36 - 80924
05/19/2009
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 IIIPAA & 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:
9455 WAPLES ST • STE. 110- SAN DIEGO, CA 921213924 • Phone; (858)678-0460 • Fax: (858)678-0894