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Home My WebLink About; ; Records Destruction Authorization Form-Library & Cultural Arts; 2007-06-04RECORDS DESTRUCTION REQUEST City Clerk/Records Management Page 1 of5 Department Requesting Destruction: Volunteer Services - Cole Library Approvals for Destruction Date hi I" 07 Manager Date - Q*V- 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: Janice Jeray-Mohney, Volunteer Services No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 RECORDS DESCRIPTION Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application (folder missing) DATED 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 BOX No. 900-3- •OYo? •y ^ RRS No. 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 RRS Period CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 BARCODE LC000007 s LC000008 / LC000011 <f LC000013 / LC000014 / LC000015 r* LC000018 LC000020 •x- LC000021 w LC000022 s LC000023 ^ LC000024 LC000031 / LC000032 / 2* APPROVED By City Attorney H=HOLD TWs form documents the destruction of City records in accordance with the California Public Records Act Revised 08/25/2005 City Clerk/Records Management Page 2 of 5 Person(s) Completing Form: Janice Jeray-Mohney, Volunteer Services No. 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 RECORDS DESCRIPTION Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application DATED 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 BOX No. ote»v -v>x<£> > RRS No. 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 RRS Period CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 BARCODE LC000034 LC000039 LC000044 t LC000045 LC000047 LC000048 LC000049 LC000051 LC000052 LC000053 LC000054 LC000056 LC000057 * LC000059 LC000061 . LC000062 LC000065 LC000067 LC000068 LC000075 LC000077 LC000078 LC000080 LC000084 LC000085 APPROVED By City Attorney H=HOLD This form documents the destruction of City records in accordance with the California Public Records Act Revised 08/25/2005 City Clerk/Records Management Page 3 of5 Person(s) Completing Form: Janice Jeray-Mohney, Volunteer Services No. 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 RECORDS DESCRIPTION Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application (folder missing) Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application (folder missing) Volunteer Application Volunteer Application DATED 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 BOX No. 6»ooq— •DX& ^ f RRS No. 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 RRS Period CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 BARCODE LC000086 LC000087 LC000089 LC000092 LC000093 LC000094 LC000096 LC000097 LC000099 LC000100 LC000101 LC000104 LC000109 LC000110 LC000111 LC000112 LC000115 LC000116 LC000117 LC000121 LC000123 LC000124 LC000129 LC000133 LC000134 APPROVED By City Attorney H=HOLD This form documents the destruction of City records in accordance with the California Public Records Act Revised 08/25/2005 City Clerk/Records Management Page 4 of5 Person(s) Completing Form: Janice Jeray-Mohney, Volunteer Services No. 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 RECORDS DESCRIPTION Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Volunteer Application Included - 87 Volunteer Applications (never placed in position and not entered in Smeadlink) DATED 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 2003 BOX No. aocq- •OX6> V t RRS No. 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 0860-80 RRS Period CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 CL+3 BARCODE LC000137 LC000138 LC000139 LC000140 LC000143 LC000144 LC000146 LC000147 LC000150 LC000151 LC000156 LC000157 LC000159 LC000160 LC000161 LC000162 LC000163 LC000166 LC000167 LC000168 LC000172 LC000173 None APPROVED By City Attorney H=HOLD This form documents the destruction of City records in accordance with the California Public Records Act Revised 08/25/2005 City Clerk/Records Management f . Page 5 of 5 RECORD DESTRUCTION COMPLE1 CERTIFICATE OF DESTRUCTION? Yes 1 CD BY:NO n SMEADLINK BARCODES DELETED BY: DATE: r 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:fj tj&MA ffift Billing Address Service Address i_ An . C/ Contact:Phone Number: {_ Type Quantity Service Rate Total File Boxes fgH6 <7LJ J~£> ,? '^ aO "1^7fr^u Bankers Boxes ShredForce Executive 100 ShredForce 250 Qther^ &£/6&%*-^' \ <?& /$* --~~~~~ /£-*** Other Other SHREDFORCE ID#:. Balance Due: $. Signature: Amount Paid:$. Please Invoice Client Check Number: Credit Card: CKHJRCairf ' ---^: . -^f : ---^^^'-'rhS^M Authorized Representative: Comments: TB: Hours: Authorized Signature^. Other: SHREDFORCE • PO Box 891 • San Marcos, CA 92079 • (800) 444-6209 09/05