HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Manager; 2011-01-14City Clerk/Records Mariijieiiuvii
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RECORDS DESTRUCTION REQUEST
Department Requesting Destruction: ( , VTV •V\A<^Ai&£:&.
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Approvals for Destruction^&£-& — «•-,•?-
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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.
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RECORDS DESCRIPTION
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RECORD DESTRUCTION COMPLETED BY : ^Ls^t S ^-^ DATE: if ( V 1 <f
CERTIFICATE OF DESTRUCTION? Yes §Z[ No D '
SMEADLINK BARCODES DELETED BY: H / <C DATE: <"
This form documents the destruction of City records in accordance with the California Public Records Act
Revised OX 2? :()
City Clerk/Records M.nMjvim':1
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RECORDS DESTRUCTION REQUEST
Department Requesting Destruction:\TU
Approvals for Destruction
ment Head
5~n~ IP
Date
]A^~Records Managertr
Attorney
Date
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.
RECORD DESTRUCTION COMPLETED BY :
CERTIFICATE OF DESTRUCTION? YesW No DT~^
SMEADLINK BARCODES DELETED BY:
DATE :
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised !)S 2> POO •
CITY OF
CARLSBAD
Records Management
Page 1 of 1
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION:
Person(s) Completing
APPROVALS FOR DESTRUCTION
Department Head
-7/W/O
Date'
r ecords 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.
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RECORDS DESCRIPTION
( AdjOhVe v o ti^vtee/J
DATED
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RRS NO.
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RRS
PERIOD
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SMEADSOFT
BARCODE
(if applicable)
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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? M YES
SMEADSOFT BARDCODES DELETED BY: /
D N
DATE:
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
WE RECYCLE
P. O. Box, 2Q77
V?sta, CA 920852077
PHONE 76C-59B-57QQ
Q91Q5377QQ
1/14/2011
PURGE
City Of Carlsbad-Records Manaqement
5815 El Camino Real
**NO SUR-CHARGE
Carlsbad, CA 92008
City Of Carlsbad
«&.»..( r-i - .-MIHIL ftOfJflct
1835 Faraday Ave
CartebadCA 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
tfired-if
A SECURIT COMPANY