HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Senior Center; 2011-01-14City Clerk/Records Management
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RECORDS DESTRUCTION REQUEST
Approved for Destruction (^^lcJ\*^^jh^^-^ &-//7J/0
E)epartmen$ftead V Date
f~^^(Jh^Jl «a-i$-/0
^~City Records Manager Date
(S$K> 2_~L*.-'0
City Attorney
Total of records approved for destruction:
Date
NOTE : City records on "Hold" cannot be destroyed.
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 audits
have been completed, and no pending or ongoing litigation or investigation involving these records is known to
exist.
This form documents the destruction of City records in accordance with the California Public Records Act.
Request by Originating Department:
Senior Center
Requested Date: Originating Department Manager Initials:
2/11/10
Person's Completing Form:
Kris Westland ^f^=-
No.
1
2
3
4
5
RECORDS DESCRIPTION
General Information
Facility Rental Applications
A.I.S. Senior Nutrition Program
General Information
Day Trippers
DATED
2003-2006
2005-2006
2000-2003
2003-2006
2003-2007
BOX RRS No.
No.
1 I 0690-05
1 ^0900-40
*|
1 I 0690-20
If
2 M 0690-05
3 Jf 1130-53
RRS
Period
CU+2
CU+2
CU+5
CU+2
CL+2
BARCODE
A|A
I
IV
PDF APPROVED
By City
Attorney
H=HOLD
DOCUMENT
0130-25/F005
DESTRUCTION PROVIDED BY :Slv U-VA .
CERTIFICATE OF
^^-"tr
DESTRUCTION?
DATE:
Yes Sf No
I/d /•*/I ^ r
WE RECYCLE Shreci-itttBAinc
P. O. Box, 2077
Vista, CA 920852077
PHONE 76G-598-57QQ
Q9tQ5377QQ
in 4/2011
PURGE
City Of Carlsbad Records Manaqement
5815 El Camino Reaf
**NO SUR--CHARGE
Carlsbad CA 92008
City Of Carlsbad
AufiL Rofifia SifiCkfod
1835 Faraday Ay9
CartSbad.CA 92008
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
Hired-it
A SECURIT COMPANY