HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Fire Prevention; 2007-06-04RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction:
^7 , r7) _/- 1
ion: y ^fe/U (_ /T&V&tJ'fa- /
Approvals for Destruction
ipanment Head Date
RecordsManager 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:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
/m FZ-
urn
00 d-OOQ IV.
9-COQ
i\
t V
DO 11 a-7
K.
RECORD DESTRUCTION COMPLETED BY :
CERTIFICATE OF DESTRUCTION? Yesf FT) No fj
SMEADLINK BARCODES DELETED BY:
/\ \\
/ 1 J.L \ A
DATE:
DATE:
Th/s form docomenfs (he destruction of C/fy records /n 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:
Approvals for Destruction
epartment Hea Date
Records Manager
Attorney
Date
_ 6. -o
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
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
/fff
&r
T3 nail ^ M\ s-hi n \\
2~)0\I V
J^L u I i
uJAy h 11
RECORD DESTRUCTION COMPLETED BY :
CERTIFICATE OF DESTRUCTION? YesV
SMEADLINK BARCODES DELETED BY:
DATE :
DATE:
Tfi/s 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:
Approvals for Destruction
Date
-07v^Y'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.
RECORD DESTRUCTION COMPLETED BY : <
CERTIFICATE OF DESTRUCTION? Yes M^ No D
SMEADLINK BARCODES DELETED BY:
~^M/ Jl*-pnCjL
M A/
DATE: Q.j'l^"7
DATE: — —
T/i/s 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:
Approvals for Destruction
Da6
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 For
No<RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
4
51 €?2
Jl
^l \]/ iFPflofl^te?
RECORD DESTRUCTION COMPLETED BY :
CERTIFICATE OF DESTRUCTION?
SMEADLINK BARCODES DELETED BY
DATE:
r I
DATE: & I7S
u
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:
Approvals for Destruction
Datfe
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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
Jtl
K
RECORD DESTRUCTION COMPLETED BY :
CERTIFICATE OF DESTRUCTION? Yes &ONo
SMEADLINK BARCODES DELETED BY:
DATE : £/V/fl7
DATE: JO
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:
Approvals for Destruction
*.U ~C?irtment Heafe*
/J3/J.0JM&
Date
ecords 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.
Person(s) Completing Form:
No.RECORDS DESCRIPTION DATED BOX
No.
RRS No.RRS
Period
BARCODE APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :_
CERTIFICATE OF DESTRUCTION? YesO^No D
SMEADLINK BARCODES DELETED BY:
rt) ~7TP DATE:
/DATE:_z
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.
•^CThis 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
Billing Address
Date / Time of Destruction:*^ "" tf-G? iJ. '
Service Address
. C/
Contact:Phone Number: £.
SHREDFORCE ID#:
Balance Due: $
Amount Paid: $
/ bo*T SHRED FORCE Signature:
~Please Invoice Client
Check Number: _
Credit Cant:
Authorized Representative:
Comments:
TB: Hours:
Authorized Signatun
Other:
Type
Quantity
Service
Rate
Total
File Boxes
fgAto
^
^aO
X2-
Bankers
Boxes
Shred Force
Executive
100
Shred Force
250
Other,
f%jG&fc&
\
*-&-
&<*>
Other Other
SHREDFOflCE • PO Box 891 • San Marcos, CA 92079 • (800)444-6209
09/05