HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2005-01-06K City ClerWRecords Management Page 1 of 2
RECORDS DESTRUCTION REQUEST
Approved for Destruction
DeDartment Head.
AB m ity Records Manager
City Attorney
Date
Date
Date
Total of records approved for destruction: a
NOTE : Citv records on “Hold” cannot be destroved.
This form documents the destruction of City records in accordance with the California Public Records Act
We certify that the records listed below have been retained for the scheduled retention period, required audit!
have been completed, and no pending or ongoing litigation or investigation involving these records is knowr
to exist.
This form documents the destruction of City records in accordance with the California Public Records Act
Request by Originating Department: Human Resources
Person’s Completing Form: Jan Murray
No. RECORDS DESCRIPTION DATED -
1
2
3
Inactive Part Time Employee Files A-J.
Terminated prior to 1998.
Inactive Part Time Employee Files K-R.
Terminated prior to 1998.
Inactive Part Time Employee Files S-Z.
Terminated prior to 1998.
/
Prior to
1998
Prior to
1998
Prior to
1998
I /
(end list)
1 BOX 1 RRSNo. ! RRS 11 BARCODE PDF 1 APPROVED
~ No. I I Period I
H=HOLD
24 0810-25 TE+5
25 0810-25 TE+5
26 0810-25 TE+5
I I
DOCUMENT DESTRUCTION PROVIDED BY : DATE: I
/-
sc - City ClerWRecords Management
\ Page 2 of 2 b I 0130-25lFOO5 CERTIFICATE OF DESTRUCTION? Yes @ NO
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INVOICE NO . (509 1 n t 12378 ,nred-lt
If Ff2t)CIS P. 0. Box 2077 DATE:
Vista CA 93Q85ZOT7
PHONE 760 598-5700 PU HGE
- INVUlGt -
City Of f;a.r!sbad 1280 Carisbad Village Ur
CQ Hall
Carisbad, ?A 92D#8
TO:
2-A
DESTRUCTION DECLARATION
ON THE DATE SHOWN, DESIGNATED CONFIDENTIAL DATA WAS SHREDDED AND DESTROYED
AS PER CUSTOMER'S INSTRUCTIONS.
TRUCK NO.:
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SALES PERSON: MW
CONTACT: P ~rvit3 5t\ 2% r316 - ~+cgrijs ##: ?~ij..i~.ct-~~4~ ALTERNATE: PH: -n
SITE DIRECTMUS: LOCATI&O#~SOLES:
I NAME: G&y CJf Carisbad
c_. SERVICE REQUIRED:
CUST. TYPE:
EST. HOURS: OFFICE HOURS: ENTRANCE: I ~,,-
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