HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2007-06-04RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: Human Resources
Lpprovpis tjpr Destruction
_\
ovsAs for Dest
Department Head Date
S-l-Ql
Records Manager 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.
Jan Murray
Person(s) Completing Form: ii^>
No.
1
2
RECORDS DESCRIPTION
Full Time Inactive Personnel Files A-Z 1996
Part Time Inactive Personnel Files A-Z 2001
DATED
1996
2001
BOX
No.
31
33
RRS No.
081040
081025
RRS
Period
CL+10
CL+5
BARCODE APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :.
CERTIFICATE OF DESTRUCTION? Yes ED No H
SMEADLINK BARCODES DELETED BY:.
.DATE:
DATE:
77)/s 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:ion:^? ' ^
Billing Address Service Address
u
. c/
Contact:Phone Number: £_
SHREDFOf?CEID#:.
Balance Due: $.
/0<?5^SHREDFOflCE Signature:
Amount Paid:$.
Please Invoice Client
Check Number:
'*
Credit
'• * :'- ." -'. .t * Cft^i1,- - * . -•-.,.{•- r f i«f £
Authorized Representative:
Comments:
TB: Hours:
Authorized Signatun
Other:
Type
Quantity
Service
Rate
Total
File Boxes
•%%%i
/9~&.? -"^"
aO
Bankers
Boxes
ShredForce
Executive
100
ShredForce
250
Qther.^
/SJLjti&fa^i
\
<?&
/£* """"
/f0*
Other Other
•
SHREDFORCE • PO Box 891 • San Marcos, CA 92079 • (800)444-6209
09/05