HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2004-04-02-. a
CERTIFICATE OF DESTRUCTION
This certificate is to certify that Shred-it destroyed confidential
information on-site for the above mentioned company by
TRUCKNO.: yp TRUCK NO.: TOTAL TIME HRS. MIN.
MOBILE CUSTOMER SERVICE REP.: J,!'r CL'ENT iJ\l$, <r -AvL, 9 '- 2 . ~~/*J2a
ENVIRONMENTAL IMPACT
Shred-it is committed to helping save the
environment. All shredded material that
is recyclable is brought to a recycling
centre to be processed into recycled
paper products.
@
OF WOOD SAVED THROUGH
@
THIS YEAR YOUR FIRM'S S
SHRED-IT'S RECYCLING PR AMQUNTS TO TREES.
THANK YOl' FOR YOUR BUSINESS
MISSION STATEMENT
Shred-it is dedicated to being the World's leading Mobile Shredding and Recycling Company. We will achieve this goal on the strengths of our people. Shred-it will
consistently deliver the greatest security, cost-effectivene\\, convenience and
our systems, our equipment and our people. Above all, we will earn the confidence of our
clients through a continued commitment to total cu\tomer satisfaction.
environmentally-friendly service available. We will earn ;I filir return on the investment in Esz m m
ErJ E!$>?,
I,r !#E: mt
e$
E' E%
m SECURING YOUR OFFICE AND THE ENVIRONMENT
- 7/14 VY
Exhibit C - Onsite Records Destruction Form PO05
Page 1 of 1
ONSITE RECORDS DESTRUCTION LIST
Qpproved for Destruction
Department Heay
City Attorney
Date \ 1'
Date
Total of records approved for destruction: [ b() X
Vote : Citv records on Hold cannot be destroved.
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.
77rk form documents the destnrcfon of Ciiy recocds in accordance wilf, the Wifimia public Records Act
Request by Originating Department: Requested Date: ger Initials:
Recreation Administration
DOCUMENT DESTRUCTION PROVIDE BY :
CERTIFICATE OF DESTRUCTION? Yes 0 No 0 DATE :
0130-25/F005
c
1 Time SheetsNVork Orders/Facility Apps 1998- 17 0900-70 CU+2
1999
2 Summer Registrations 2000 29 1130-55 CL#
3 Fall RegistrationslRefunds 2000 30 1130-55 c L42
4 Open Play/Daily Report 2000 31 1130-80 CL*
2000 32 1130-55 CLt2 5 Registrations
6 Facility Apps/lnsurance Forms/Facility Res 2000 33 0900-70 CU+2
~~ ~~ - -
Books
7 Shift Notes 1997 34 1130-80 CL+2
8 Open Play/Revenue Reports 2000 35 1130-80 CL+2
City Clei-URecords Management
Page I of3
Exhibit C - Onsite Records Destruction Form F005
ONSITE RECORDS DESTRUCTION LIST
Approved for Destruction Department &d - .- Y w Date
3LJS/O$
+l\ 4.
Date
%%w
City Records Manager
Date
5
City Attorney
Total of records approved for destruction: 8
1 Note : Citv records on Hold cannot be destroved.
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 I to exist.
Exhibit C - Onsite Records Destruction Form F005 -
10
11
~
ONSITE RECORDS DESTRUCTION LIST
Activity Registrations 1993 IO-- 1130-55 CL+2
Revenue Reports 1997 11- 1130-80 CL+2
b
d
c
J -/5 -09 ,a I +"
Approved for Destruction ( , I Dvartment Had J Date
City Records Manager Date
City Attorney Date
Total of records approved for destruction: $[$et? eOq* 2 >
Note : City records on Hold cannot be destroyed.
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.
rn - ,.-
City ClerURecords Management
12
13
14
I I No. I RECORDS DESCRIPTION I DATED BOX 1 RRSNo.
I
Open Play and Daily Revenue Reports 1997 12- 1 130-80
Activity Registrations and Refunds 2000 13- 1 130-55
Activity Registrations and Refunds 1999 14’ 1 130-55
II
19
20
I No. I
Express Orders
Empolyment applications, Closing 21 ’ 1130-05
checklists, Part-time Hours, 1998
Communications 1993
Facility Applications, Facility Reservation 1998 22’ 0900-40
21
Safety Records, Incident Reports and
Inspections
Karate Tournament
Facility Applications, Insurance Forms,
Facilitv Book. Attendance Notes
Books and Insurance Forms
Activity Registrations 1999 23’ 1130-55
-,- I 17 I Timesheets. Work Orders. Shift Notes and I 1998
26 I Activity Registrations/Karate Waivers
I I ‘Availabilitv Sheets I
1999 I 28. 1130-55
I 18 I Phone message books and Corporate I 1997
15l 1130-80 7-
20’ 1 130-05
I a/-- .. .. la 1 I
I I I I 25 Activity Registrations 2001 27 - 1 1 30-55
I I I
’ 1
I
RRS 1 BARCODE I PDF 1 APPROVEDBy I
Period 1 I City Attorney 1 1 H=HOLD
cL+2 I I I I CL+2
I I I CL+2
CL+2
cu+2
CL+2
CI +7
ri Ag
CL-2
CL-2