HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Clerk; 2017-11-28w
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 10/20/2017
REQUESTING DEPARTMENT: CITY CLERK REQUESTER: HEIDI DEWITT
DESTRUCTION APPROVALS:
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.
:Jb -c;L_.., ,/ .~£h.uuZ
DEPA~: RECORDS MANAGEMENT: CITY ATTORNEY:
BOX NO. -RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
1 PUBLIC RECORDS REQUESTS 2013 0130-50 CL+2 {St.t,,~)
1 REGULATORY AGENCIES 2013 0230-70 CU+2
1 STATEMENTS OF ECONOMIC 2008 0735-43 CU+7 INTEREST (CONSULTANTS)
1 CANDIDATE INTENTION STATEMENT 2010 0730-45 E+5
1 CAMPAIGN STATEMENTS 2008 0730-41 E+7
1 AFFIDAVITS OF PUBLICATION 2011-12 0740-20 CU+4
1 BCC APPOINTEES 2002-0300-40 TE+5 2006
1 BCC APPLICATIONS 2013 0300-445 CL+2 ~
*If more spaces are needed, click in the last box in right hand corner of table and hit "tab". This will create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: Ce Yf)ddv DATE:
CERTIFICATE OF DESTRUCTION? ~ YES D NO --SMEADSOFT BARCODES DELETED BY:_· -----------
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. ,A . <<.·:-1,, cm ., Revised: 10/20/2017 ~ CARLSBAD
.• ,. .
• ·,; I I ·\_
:~; ~~t>'td~~Dw.s_h, [O!f·~c.)
... l.sa-11-/Ylp.i:)
- -((}p,:-~1j)
.. _(,J°LLll-~tJ _ .
;io,~
d0t3
-~QI~
,;t_C)( ~
crI 3CJ so _ Ko2CJ PJ 99-9
15 tJ 'UJ 'J 'i'J (s,
_ K tJ2t1 10,c, "'J
/1tJ;JO 1'19~
_ ~(J~_o '73Y9 -'.~t~k~n~ ief()f\0[)11~ ltik((~( fons~,.,..~n4':s. -__ o?:X>8
.,:P~ -~me-n1 _ _ _ _ o2Q ttJ __ O'l_~C>o_?
" ;fl.b / / e.. l.)-1 I 1. l-t ~5_ (k, ,n, .5.:, u/ n
-~<!-.,. ~ ;_: 1*leoho/ (.3g,:t.r~ff-~-4~~
_ 'J36~rds/ &mm l!i~1 m~ lJ.p.p_o, ,; ~.5-• • _ .
c9ot 3
~Ol3
_ o :l3o1tJ
--Q~3D7_C)
1't"1"" S j'.f&_r,{h~d~,1)1A.tt-.51s~,,.-~ _
H; 1''°'~-e, j~zu.i~ -~1~~~-~
; : : c5kfn, J od; -S1 ~k..,r ~J1
.. c!;)C>O.~
_ -· . _ d00 "':f
':; Pdrou.J thr, ~~,~~-~•5kr c!t-~
: ~O"'-p50n) _P~,-_ ~,sktC-~
, ; VaJ cJ-erho.tt.s, fr •K'-~·~ktr-C0-,
. ; f'ra0c.is 1 ~, h,c. , $-Y _rs
,~'. l!-,rn~,~ob.ll.d---~Tb, b
. , ; ~ h l<-~ I f+pr, l -(!:r f6 I 0
_jfifA_h~rotfeJ _E~~h-<-:£,5 ~&~ _
c(J..r)~}ta..Le. r.h~J-t 1k .:s~~ : _
-~_j-~ :,!)oMOrQda Q..n 1 11\o h a.rnrntl. d
.. '. "Wood, da-r1u,·r1,e ·-
(9, R.ea ·11-t I J ~oh n
N~i(la.rc1, qt,,..1,·-e. _
· . fh'l,~r, Wf:t! +
. . ca ~b b J WI I / 1 CL r'h
: (!__({'rYI Sh, e_ I( 1 JI 1n
e>b0.5.
~o_'-1.
~D:'.Ju,
~005
d6o;;)
d005
d0D5
a)610
.;;:,o_10
~OJO
c:Jo1D _
d:610
c:::J0/6
Jato
l{_odo&~J.
I{ OdJO 8_ C>_CJ_
K.o ~(ll.4l/7 s _
IS o,;,au_ 4-7 ·~-_
K Cld.6£.. tl 1.~-
f<_C>_~auLJ 1) _
_ K"a 26 rz u:, ~-
-_ K 6;>a~ 7£
t(Q ~ql.142~_
Ko~~~17
Kodc,&,'J~I
~()~ 6"} lQ ~
!) ();).(J '1 u S_ t)
K 0 ~~o;;Jo 7 z;q 1 __
Ka2.c tJ ,az. 1
Ko~o11.£d~
/'}CJ~{) ') U)? ~-
K o;}o ?u/17
Kod6 ?~~-9
E+1
<3ern~ rd; 2,t-e nf'\
(J A--rn Plh&n .Sr ME m e-AJr s. /
.X>ot.yJa..s) F()..rro._h.
dmtolo ~ lv..b'"t> Si~ (i() ~
·-· ... ~_
... •._,
~610
. 1
Ka~ ?3aCJ >
/t{CJ~ 73 C,(.p
r
~ ; •, 'l . I
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
107425
Tuesday,November28,2017
5815 EL CAMINO REAL
Nov-28-2017 thru Nov-28-2017
443549
* Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s).
E·Jcorodata a"SSAE16
Tyl}e n Audit Completed HIP£