HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Council; 2008-04-28RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction:Council
Approvals for Destruction
Date
dL^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:
Debra Doerfler for Kira Lindberg
No.RECORDS DESCRIPTION
Chron Files Marilyn Strong
Chron Files - Ann Kulchin
Chron files - Mark Packard
Chron Files - Norine Sigafoose
Chron Files Matt Hall
Chron Files - Mayor Lewis (internal)
Chron Files - Mayor Lewis (external)
Proclaimations
Misc correspondence
DATED
2005
2005
2005
2005
2005
2005
2005
2005
2005
BOX
No.
116
116
116
116
116
116
116
116
116
RRSNo.
0100-03
0100-03
0100-03
0100-03
0100-03
0100-03
0100-03
0100-30
0100-03
RRS
Period
CU+2
CD +2
CU+2
CU+2
CU+2
CU+2
CU+2
CU+2
CU+2
BARCODE
0000068
0000063
0000065
0000064
0000062
0000061
0000060
0000079
0000067
I,
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :
CERTIFICATE OF DESTRUCTION? Yes H No
SMEADLINK BARCODES DELETED BY:
. DATE :
DATE:
Zl
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
CJNlAS
DOCUMENT MANAGEMENT
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CERTIFICATE OF DESTRUCTION
CONTACT: Tanya Bjork - Phone: (760)602-2786
SERVICE PERFORMED
Pounds
Minutes
SVC'D ADD'L
SERVICE TICKET #:
DATE:
CUSTOMER #:
SERVICE/TYPE:
NEXT SERVICE DATE:
NEXT SERVICE TYPE:
Lock(s) Present/Operable:
Clasp(s) Present/Operable:
*• 3 mm
OOG36 - 42136
04/28/2008
10284
Purge/Onsite
Not scheduled.
Not scheduled.
Yes
Yes
No
No
COMMENTS: I ^ I 1
This certificate is to certify that Cintas Document Management will shred confidential data per customer's instructions and according to HIPAA & GLBA
regulations for the above-mentioned company. Mobile destruction services are NAID certified. Non-paper destruction services are not NAID certified.
CUSTOMER SIGNATURE:
SERVICE REP SIGNATURE:
9455 WAPLES ST • STE. 110 • SAN DIEGO, CA 921213924 • Phone: (858)678-0460 • Fax: (858)678-0894