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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Fire Prevention; 2006-03-24DESTRUCTION APPROVED BY: Form F005 - Page 1 of 1 RECORDS DESTRUCTION REQUEST (Form F005 ONSITE-Rev. 1/02) ORIG:AC&R (SIGNATURE)DATE ECORDS MANAGER (SIGNATURE)DATE CITY ATTORNEY (SIGNATURE) Total of records approved for destruction: DATE This form documents the destruction of City records in accordance with the California Public Records Act 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. Request by OriginatingDepartment: Person's Completing Form: No.RECORDS DESCRIPTION lt/<?.tJt njQH<?fh(ftjr~ /// tl/^fau/^ l//nk &$/<?<> &> /ZfTirt, ~~TP/yn *, , /-^far/led /(Zflt'fZ o^Jmi^/h, &j>-«. c, rft-^ ^ Requested Date: (f/^3/^5^" DATED <2cof BOX No. /l/^ RRS No. cfc>3©-% Originating Department Manager Initials: RRS Period CV-t-3 t 77 BARCODE ^foootfsi S*-*edL<& Electronic Media Number _ , APPROVED By City Attorney H=HOLD End of List DOCUMENT DESTRUCTION PROVIDED BY : 0130-25/F005 DATE CERTIFICATE OF DESTRUCTION?No WE RECYCLE; Shred-it P.O. Box 2077 Vista. CA 920852077 PHONE 76Q-598-57QO BiLLtD TO; City Of Carlsbad 1200 Carfsbad VlHage Or City Hal! , ^ Carlsbad. CA920QE^r Q9I0139051 DATE: 3/24/200$ PURGE LIVE INVOICE FORWARD TO ACCOUNTING PROCESS PAYMENT IMMEDIATELY This is to certify that Shred-it destroyed confidential information on-site for the above mentioned company by TRUCK NO.:TRUCK NO,: CLIENT: X PRINT CUOTXvlEf N A *v1 F"" of This year your firm's share of wood saved through Shred-it's recycling program amounts to 0 trees. CERTIFICATE OF DESTRUCTION THANK YOU FOR YOUR BUSINESS. ft SECURIT