HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2011-01-14CITY OF
CARLSBAD
Records Management
Page 1 of 1
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: Parks and Recreation-Aquatics
Person(s) Completing Form: Maika Penner
APPROVALS FOR DESTRUCTION
(JlMA&rtXA?
Department Head Date
- fO
lecords Manager
City Attorney
Date
c/, 3. -7, 10
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.
1
1
1
2
RECORDS DESCRIPTION
Daily Lane Use Forms /^
Lagoon Use Permits
User Group Billing
Daily Accounting Sheets (_ CLASS
£E«7iSTErt-ris
DATED
06-07
06-07
06-07
06-07
K3S^
RRS NO.
1130-05
1130-60i/
1130-05i/
- 1130-55
RRS
PERIOD
CU+2 ""
CL+2
CU+2
CL+2
SMEADSOFT
BARCODE
(if applicable)
r\
J
A
APPROVED By
City Attorney
H=HOLD
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
DATE
- DATE:
: /A/7
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
WE RECYCLE a Q91Q5377QO
P O 8ox2077
VisJa, CA 920852077
PHONE 760-59S-57QQ PURGE
City Of Carlsbad-Records Manaqement
5815 EJ Camino Reaf
**NO SUR-CHARGE
Carisbad, CA 92008
City Of Carlsbad
AiifiL Roilifia Siilckfod
1835 Faraday Ave
CartSbad.CA 92008
H
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
This year, through Shred-it's
recycling program, your firm
has saved trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
SECURING YOUR OFFICE
AND THE ENVIRONMENT
\hred-it
A SECURIT COMPANY