HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Attorney; 2006-08-02Exhibit C - Onsite Records Destruction Form F005
City Clerk/Records Management
Page 1 of 1
CORDS DESTRUCTION REQUEST
Approved for Destruction
lartment Head Date
4£)f"City Records Manager Date
City Attorney
Total of records approved for destruction:
Date
NOTE : City records on "Hold" cannot be destroyed.
This form documents the destruction of City records in accordance with the California Public Records Act
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.
This form documents the destruction of City records in accordance with the California Public Records Act
Request by Originating Department:Requested Date:
I* • \ <\ - O
Originating Department Manager Initials:
Person's CompletingForm: IfcUi'viitJt^Sr
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE PDF APPROVED
By City
Attorney
H=HOLD
looo-3ooi li
7
(end list)
DOCUMENT DESTRUCTION PROVIDED BY :
0130-25/F005
_ DATE ;
CERTIFICATE OF DTRUCTION? Yes D No
CITY OF CARLSBAD
RECORDS MANAGEMENT
DOCUMENT MANAGEMENT SYSTEM
DELETION LOG
Due To Errors Or Duplications, The Following Imaged Documents Need To Be Deleted From The Document Management System.
NUMBER 1 DATE
(PDF/TIFF)
DOC. No. 1 FILE No.DOC. CLASS SUBJECT/TITLE TYPE OF
ERROR
Requested By:
PAI Contact:
Deletion Code:
Approved By:
TvdiCf2.A ~& \<o\.c\'Date & Tune PAI Called: cP,
Total Number To Delete:
Date:Documents Deleted
After deletions are complete, please return this form to the Records Management Department
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