HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Planning; 2005-01-06City ClerWRecords Management Page 1 of 2
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RECORDS DESTRUCTION REQUEST 2= =b 27 )$5%
4-Z3 -04
Date
Approved for Destruction
Date
City Attorney Date
Total of records approved for destruction: 2 boxes - Total of 79 files
I NOTE : City records on “Hold” cannot be destroved.
I This form documents the destruction of Citv records in accordance with the California Public Records Act
DOCUMENT DESTRUCTION PROVIDED BY :
0 130-25rF005 CERMICATE OF DESTRU$TION? Yes
c JL
LiVE iNVOiCE BILL TO:
T4SCCC'
DESTRUCTION DECLARATION
ON THE DATE SHOWN, DESIGNATED CONFIDENTIAL DATA WAS SHREDDED AND DESTROYED
AS PER CUSTOMER'S INSTRUCTIONS.
TRUCK NO.: TOTAL TIME
.. ...... THIS YEAR YOUR FI SAVED THROUGH
SHRED-IT'S RECYC
-
.pV- w INVOICE NO.:
REF. NO.: 009 1 0 ! 2376 - 1 e!r Rmte -*UP
')g1728$8 K, 3 !tA I n < h gr 5;~ DATE: SALES PERSON: MW II G120U5
1 NAME: CWy Of C:artsbad CONTACT: p,:r,;-,3 St\'.l.: Itj Peco-if 4?p :&-4M-3!:!2
ALTERNATE: PH: i I;, 1 '2 -r-
SERVICE REQUIRED:
CUST. TYPE:
EST. HOURS: START AT: OFFICE HOURS: ENTRANCE:
SITE DIRECT&&: - ' LOCATI& B#~SOLES:
OAK
GRY
BIN
3 -.