HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Library & Cultural Arts; 2006-11-27RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Pagel ofl
Department Requesting Destruction: LIBRARY
Approvals for Destruction
HEATHER PIZZUTO (IJtfltfkjLU
Department Head (7f
Re!
Attorney
4/26/06
Date
Date
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.
Person(s) Completing Form:
Cissie Sexton, Admin. Secretary
No.RECORDS DESCRIPTION
Applications received as a result of recruitments for
part time positions - applicants not hired
Applications received as a result of recruitments for
part time positions - applicants not hired
DATED
JAN 2002
DEC 2002
Jan 2001 -
Dec 2001
BOX
No.
\
I
RRS No.
0850-25
085025
•
RRS
Period
CL+3
CL+3
BARCODE
None
it
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPL
CERTIFICATE OF DESTRUCTION? Yes
SMEADLINK BARCODES DELETED BY;
DATE:
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
SECURE DOCUMENT DESTRUCTION
Client materials are to be destroyed off-site. Client will
receive official Certificate of Destruction upon completion
of service.
y^fhis CERTIFICATE OF DESTRUCTION certifies the complete
destruction of all material contained as described below on the
date and at the time recorded herewith.
Date / Time of Pick up:_AMPM
Billing Address
Date /Time of Destruction//-2'?- ^L I/£-</{) AM/-^ ^
Service Address
Contact:Phone Number:
Type
Quantity
Service
Rate
Total
File Boxes
(L(o
s^
5?^
Bankers
Boxes
Shred Force
Executive
100
Shred Force
250
Other
&*&***
fl^d
7r^
f^
^v
Other Other
SHREDFORCEID#:
Balance Due: $
Amount Paid: $
5 SHREDFOfiCE Signature:
Please Invoice Client
Authorized Representative:
Comments:
TB: Hours:Other:
SHREDFORCE D PO Box 891 D San Marcos, CA 92079 D (800)444-6209
09/05