HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2011-01-14 (4)CARLSBAD
Records Management
Page 1 of 1
RECORDS DESTRUCTION AUTHORIZATION
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DEPARTMENT REQUESTING DESTRUCTION:
Person(s) Completing
e
APPROVALS FOR DESTRUaiON
Department""^
70
Datl
Records Manager Date
- 6. -
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.
5-
BOX
NO.
RECORDS DESCRIPTION DATED RRS NO.RRS
PERIOD
SMEADSOFT
BARCODE
(if applicable)
APPROVED By
City Attorney
H=HOLD
\dent"1130-15
ffldi I'fippac/trionS
"
a ACT\V£non
non
.6 non
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTIFICATE OF DESTRUCTION?
SMEADSOFT BARCODES DELETED BY:
YES NO
DATE:
DATE:
7/J/s /orm documents the destruction of City records in accordance with the City of Carlsbad Records
Management Program
Revised 12/23/2009
CITY OF
CARLSBAD
Records Management
Page 1 of 1
RECORDS DESTRUCTION AUTHORIZATION
DEPARTMENT REQUESTING DESTRUCTION: P^ &
Person(s) Completing Form: fo/u^STij^ W^Oi/n^V-(f° 0
APPROVALS FOR DESTRUaiON
Department Hea^tJ/ V Date
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.
"' &
-' f/5
RECORDS DESCRIPTION
K£O2-£Y^T7or) r^cc-ocxr*~)n<3
\\&C\ tS"H2>^T7CO fr>f2Arv'S>
DATED
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RRS NO.
non
\\Ho-5o
RRS
PERIOD
reco"^
C^-t-x
SMEADSOFT
BARCODE
(if applicable)
d *^
d ^X
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:
YES NO
DATE:
DATE:
7/1/5 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 8QX2Q77
Vista, CA 9208520
PHONE 76Q-59S-57QQ
77
Q9tQ53770Q
1J14J2Q11
PURGE
City Of Carlsbad-Records Manaqement
5815 BCamino Reaf
**NO SUR-CHARGE
Carlsbad, CA 92008
City Of Carlsbad
« *.*-.! ri —. - _ f\n...' _t. irtlUIL rtOfHtit OLIICKIOU
1835 Faraday Ave
Carlsbad.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
tfired-it
A SECURIT COMPANY