HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Fleet & Facilities; 2020-07-16"i \i
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RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: APRIL 30, 2020 ______ ::,.._ ___ _
REQUESTING · _ -~ LAUREL WEBER/JASON
DEPARTMENT: FAC/S~REQUESTER: _l{E_N_N_E_DY ______ _
DESTRUCTION APPROVALS:
W1;• ,:,:ti i/)' 1 hat rfie records /isled below have been retained for the scheduled retention period, required audits have been
W1i111fcte£1, one/ no pending o,-ongoing litigation or investigation involving l'hese records is kri'own to exist.
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1~,bEPARTMENT HEAD:' DATE RECORDS MANAGEMENT: DATE CITY ATTORNEY: DATE
80)( NO. RECORDS DESCRIPTION DATED RRSNO. RRS TAB BARCODE
PERIOD (if applicable)
General Information -Invoices,
1 Requests for Checks, Credit Card 0900-05 CU+2
Purchases 2013-2016. -
*If more spaces ore needed, c/iclc in the last box in right hand corner of table and hit "tab". This wll/ create more fields in the table:
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ___ &,,--'-_b_d_hfl.--'-----DATE:
CERTIFICATE OF DESTRUCTION? IX] YES 0 NO
SMEADSOFT BARCODES DELETED BY: ____________ _ DATE: ______ _
H This form documents the destruction of City records in accoraance with the City of Carlsbad Records Management Program. I
I\ .(c~ityof
Ii Carlsbad Revised: 4/29/2020 1·• I "/. I• l
l;.1J _______________________________________________ ~~---.J
Records' Destruction Authorization Attachment
Invoices, Credit Card Purchases, Request for Check 2013-2016
1 AA Trophies 45 Konecranes
2 Abatix 46 Law Enforcement Targets, Inc.
3 ABC Mat Design and Frame 47 Linea
4 Action Target 48 Look Solutions USA
5 Advanced Equipment 49 Lucky Wholesale Inc.
6 Airgas 50 Mako Group
7 Alco Target 51 Mission Electric
8 Allies Party Rental 52 Mity-Lite
9 Amerigas 53 Mato Shot
10 Anchor Audio 54 National Police Supply
11 APS Professional Systems 55 Natoinal Shooting Sports Foundation
12 John Stoup Art Services 56 Norweco, Inc.
13 BioClean 57 NRC Environmental
14 Boswell Painting 58 Pacific Plus
15 Brian Cox Engineering 59 Pacific Safety Center
16 BullEx 60 Palomar Reprographics
17 Carlsbad Village Lock & Key 61 Pinpoint Pest Control
18 Cart Mart 62 Pipes Plumbing
19 Cintas 2017 63 Pleasant Line Corp.
20 City of Carlsbad Central Stores 64 Pollardwater.com
21 Compliance Signs 65 Progressive Medical International
22 Compressed Air Specialties 66 Pure Flow
67 Request for Check (employee reimbursements)/
23 Copy Max Travel Reimbursement
24 CPR 1 68 Schelect Inc. DBA Schmidt Electric
25 Credit Card Purchase Detail 69 Schmidt Fire Protection Co., Inc.
26 Cubic Simulation Systems 70 SDG&E
27 Door Company 71 Seaside Heating & Air
28 El Camino Rental 72 Signs on Time
29 Emera I Landscape Services 73 Singer Safety Company
30 E-Z Up Inc. 74 Space Save lntermountain
31 Fenner and Associates 75 Sparkletts
32 Ferguson 76 Spectrum
33 Fire Blast 77 SPS Marketing, dba Superior Product Sales
34 Fire Etc. 78 Staples
35 Focused Technology 79 Sun Master
36 Froggy's Fog 80 Sure Craft Door & Hardware, Inc.
37 Global Environmental Network 81 Time Warner Cable
38 Gov X, Inc. 82 TMC Shooting Range Specialist
39 Graham Construction (Mike Graham) 83 Uline
40 Grainger 84 Water/ Utility Bills City of Carlsbad
41 Hi-Way Safety 85 Waxie Sanitary Supply
42 JMG Security Systems 86 Western Audio Visual
43 Johnson Lift/Hyster -----' o/~~ ~ _-:, -~•(. ~~ ~
Q:\Public Works\General Services\Safety Training Center {STC)\1. Admin\Record Destruction Authorization & Logs\Records Destruction Auth Attachment to Form STC 4-
30-2020
CERTIFICATE OF DESTRUCTION & RECYCLING
This certificate is presented to: CITY OF CARLSBAD -RECORDS MANAGEMENT DIVISION
Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then
recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not
inventory, record or track any information contained within or related to the Material.
Account #(s)
Certificate #
Date Issued
Service Locations
Date Range of Service
Work Ticket(s)
Quantity/Item
SD012455
115082
Friday, July 17, 2020
5815 EL CAMINO REAL
Jul-16-2020 thru Jul-16-2020
717926
6 -6 Boxes for Destruction· (large)
30 -42 Boxes for Destruction (standard)
• Nothing in this cerlificate shall be deemed to modify the terms of the parlies' Service Agreement(s) or Work Ticket(s/.
E•Jcorodata WSSAE16
Type II Audi! Completed HIP.Al-\