HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Manager; 2011-02-03 (2)CARLSBAD
Records Management
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RECORDS DESTRUCTION AUTHORIZATION
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DEPARTMENT REQUESTING DESTRUCTION
Person(s) Completing Form: ^jr#- U
APPROVALS FOR DESTRUCTION
Department Head Date
j Records Manager Date
City 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.
BOX
NO.
RECORDS DESCRIPTION
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DATED RRS NO.RRS
PERIOD
SMEADSOFT
BARCODE
(if applicable)
APPROVED By
City Attorney
H=HOLD
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To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
/l DATE: 3- '3-
YES NO
T/i/s /omi documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009