HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Parks & Recreation; 2006-11-27Kris Westland - Senior Center.doc Page 1
City Clerk/Records Management
Page 1 of 1
RECORDS DESTRUCTION REQUEST
Department Requesting Destruction: RECREATION - SENIOR CENTER
Approvals for Destruction
^^ZkJ^w<^ loj/j}#fe
Department Head/y If Date
RecoroTManager — ' /j Date
Attorney 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: TANYA BJORK
No. RECORDS DESCRIPTION DATED BOX RRS No. RRS BARCODE APPROVED By
NO. period City Attorney
H=HOLD
1 ACTIVITY REGISTRATION FORMS 2001- 1 1130-55 CL+2 N/A
2003
2 ACTIVITY REGISTRATION FORMS 1999- 2 1130-55 CL+2 N/A
2002
3 DAYTRIPPER 2000- 4 1130-53 CL+2 N/A
2001
4 SENIOR PROGRAMS 1988 4 0690-10 CU+2 N/A
5 VOLUNTEERS (INACTIVE) 1992- 4 0860-80 CL+3 N/A
1999
6 NUTRITION COORDINATOR APPLICATIONS 2002 4 0850-25 CL+3 N/A
RECORD DESTRUCTION COMPLETED BY ^J^~^^~nT> && DATE : ' ' /^ /CHp
CERTIFICATE OF DESTRUCTION? Yes &P No D _
SMEADLINK BARCODES DELETE!) BY: O^/a DATE:
'
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
_J
.
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: RECREATION - STAGECOACH
Approvals for Destruction
Date
Date
Attorney 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: TANYA BJORK
No.
1
2
3
4
RECORDS DESCRIPTION
INCIDENT/INJURY REPORTS
ATTENDENCE SHEETS
CLASS REGISTRATION
FACILITY USE APPLICATIONS
DATED
1995-
1997
1998-
2002
2000
1999-
2001
BOX
No.
1
1
1
2
RRS No.
1130-15
1130-55
1130-55
0900-40
RRS
Period
CL+2
CL+2
CL+2
CU+2
BARCODE
N/A
N/A
N/A
N/A
APPROVED By
City Attorney
H=HOLD
OV A —
RECORD DESTRUCTION COMPLETED BY : ~=S*&A^f -
CERTIFICATE OF DESTRUCTION? Yes Vp No D
SMEADLINK BARCODES DELETED BY: r\/^
T^O (L-C DATE : ' 1 ^^ i 0 W
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: RECREATION - SWIM COMPLEX
Approvals for Destruction
Da
Date
Attorney 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: TANYA BJORK
No.
1
2
RECORDS DESCRIPTION
FACILITY USE APPLICATIONSV J&&&
CLASS REGISTRATION /
DATED
1995-
1999
2003-
2004
BOX
No.
V
\*
RRS No.
0900-40
1130-55
RRS
Period
CU+2
CL+2
BARCODE
N/A
N/A
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY : <=M/V£e/ -
CERTIFICATE OF DESTRUCTION? YesW No D
SMEADLINK BARCODES DELETED BY: r>/3
-fint-JL DATE: tlj?4>/OxO
DATE:
T/7/s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 1 of 1
RECORDS DESTRUCTION REQUEST
Department Requesting Destruction: RECREATION - HARDING
Approvals for Destruction
cka3v~***-4
Department Head Date
Date
Attorney 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: TANYA BJORK
No.
1
2
3
4
RECORDS DESCRIPTION
INSTRUCTOR FILES
INSTRUCTOR FILES
INSTRUCTOR FILES
LAGOON PERMITS
DATED
2000-
2001
1994
1996-
2000
2000- V
2001 \
BOX
No.
1364
Ir-
1363
V
1362
^
T
j>
RRS No.
1130-50
1130-50
1130-50
\\ 130-60
RRS
Period
CL+2
CL+2
CL+2
CL+2
BARCODE
N/A
N/A
N/A
N/A
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :
CERTIFICATE OF DESTRUCTION? YeSvJTf) No Ey&
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.
.This 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:__AM PM Date / Time of Destruction/-^ • ^AM
Billing Address Service Address
Contact:Phone Number: ("7^/9 )
Type
Quantity
Service
Rate
Total
File Boxes
(Lff.
^#**
Bankers
Boxes
ShredForce
Executive
100
ShredForce
250
Other
^^His&ti
7r^
l^
^v
Other Other
SHREDFOflCEID#:.
Balance Due: $.
SHREDFORCE Signature:-
Amount Paid:$
Please Invoice Client
KWumt
Authorized Representative:
Comments:
IB; Hours:Other:
SHREDFOffCE D PO Box 891 D San Marcos, CA 92079 D (800) 444-6209
09/05