HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Clerk; 2021-10-07RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 08/05/2021
REQUESTING DEPARTMENT: CITY CLERK REQUESTER: TAMMY McMINN
DESTRUCTION APPROVALS:
We certifySlh e records listed below have been retained for the scheduled retention period, required audits have been
completpj, and n pending or ongoing litigation or investigation involving these records is known to exist.
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D_E!!aJ'll!!I >]fll111SION MANAGER C /ITE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Notices of Committee Vacancy 2017 CC-040 2 yrs N/A
Notices of Vacancy 2018 CC-040 2 yrs N/A
*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: -----,----CtJ_f"i_O~------
CERTIFICATE OF DESTRUCTION? 0 YES 0 NO
DATE:
TAB BARCODES DELETED BY: ___ .A/4ar __ l_tL_~-~--fr-----DATE: /o/ 7 k1
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Ccityor
Carlsbad Revised: 2021
Page /1
DESTRUCTION REPORT
Name
2018 Notices of Vacancy; Boards and Commissions;
Notices of Committee Vacancy; 2017; Boards and Commissions
Template Name
Physical Folder
Physical Folder
Department
City Clerk
City Clerk
Account #(s)SD012455
Certificate #101273
Date Issued Friday, October 08, 2021
Service Locations 5815 EL CAMINO REAL
Date Range of Service Oct-07-2021 thru Oct-07-2021
Work Ticket(s)873043
Quantity/Item
1 -CALL 20 MINUTES RPIOR TO
ARRIVAL - 760-271-6841
67 -67 Boxes for Destruction (standard)
* Nothing in this certificate shall be deemed to modify the terms of the parties¶Service Agreement(s) or Work Ticket(s).
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.
E•Jcoro data SSAE16
Type II Audit Completed • HIPA'A
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