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This lorm documents the destruction of City records in occordance with the City of Carlsbad Records Manogement
Progrom.
Revised: 7/11/2076
BOX NO.RECORDS DESCRIPTION DATED RRS NO.RRS
PERIOD
TAB BARCODE
(if applicable)
General lnformation 1986-
1990 1000-05 CU +2
lnspection Requests 1986-
1988 1000-76 CL+2
lnspection Logs 1_986-
1988 1000-77 CL+ 2
*lf more spaces are needed, click in the last box in right hond corner of table ond hit'tob'. This will create more lields in the toble.
To be filled out once records hove been destroyed.
RECORD DESTRUCTION COMPLETED BY:
CERTI FICATE OF DESTRUCTION?
PRM Folder Records DELETED BY;
DATE:
DATE:
CARLSBAD
\r,=d-it SERVICE RECORD
CERTIFICATE OF DESTRUCTION
(THIS IS NOT AN INVOICE)
Customer: 11889293
City Of Carlsbad-Records Management
5a15 EI Camino Real
CARLSBAD CA 92008-8801
USA
Page: 1 of 1
Order #: 8024860953
Order Date: OGI30/2016
This year your firm has $aved 42.8La trees through recycling shredded paper.
QrYServiced, a7A:
Bankers/Archive
Box
Equipment
Maintenance:
Service Type:
Customer Signature:
Customer Print Name:
Received on Account: $
NA = Not Accessible
E an"ou" / check No.:
Additional Charges:
Autmomatic TotalContainerlnventory:service:
Extra Material: Container Type:
Purge Service: Requested Type:
NF = Not Found at Location
QTY: 1.000
QTY:
Actual
QTY:
QTY:
NA NF Container Type Serlal No.Loeataon