HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Housing Services; 2021-10-07 (5)This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
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DATE: 9/01/2021
REQUESTING DEPARTMENT: HOUSING SERVICES REQUESTER: PATTI CRESCENTI
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.
DEPT. HEAD/DIVISION MANAGER DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
353
AFFORDABLE HOUSING FILES:
TINGEY 2004; SEO/KIM 2010;
BADINER 2004; SCHUSTER 2002;
MASSOUDI 2012; SYNODIN 2005;
STANLEY 2003; CARLIN/WAGNER
2015; KIM 2009; WAGNER 2009
2015 HS-035
LOAN
PAYOFF
+ 5 YRS
351
AFFORDABLE HOUSING FILES:
MARQUEZ, PATRICIA 2015;
PICCINI, ROCCO & DIANNE 2015;
SWEENEY, JEANNE 2014;
SULEJMANI, GENTI & REED,
ALMA 2011; LEHMAN, SHANNA
2010; LINZEY, GENEANE 2001;
ASLAMI, MOHAMMAD & NAHEED
2005; LUCAS, MARILYN 2015;
LUTZ, CHRISTY 2004; HSU, ALICE
2005; BAURIN, NADINE 2014
2015 HS-035
LOAN
PAYOFF
+ 5 YRS
98
AFFORDABLE HOUSING FILES:
ALBERT, DANA 2003; ALLEN,
MARTHA 2004; BALK, SUSAN 2003;
BEASLEY, TREVOR 2004; BIRD,
CHRISTOPHER & ELIZABETH 2005;
CHAVIRA, CARMEN S. 2001;
DELEON, SYBILLE 2004; FOSTER,
JENNIFER & BLYTHE 2004;
KAHARLANI, ALIREZA, EBTEKARI, &
LEILA 2006; MARCHAND, JUSTIN &
ERICKA 2004; WINGLOVITZ, GARY &
AMY 2005; YAKELY, KEVIN &
2009 HS-035
LOAN
PAYOFF
+ 5 YRS
RECORDS DESTRUCTION AUTHORIZATION FORM
DocuSign Envelope ID: 4104F2A0-33F9-49A4-A032-93818E543CFE
See attached
09-09-02021 9/9/2021
CCityar
Carlsbad
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
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*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: ___________________________ DATE: ______________
CERTIFICATE OF DESTRUCTION? YES NO
TAB BARCODES DELETED BY: _____ _______________________________ DATE: ______________
SHANNON 2005; JACINTO, CODY
AND VANESSA 2009
355
AFFORDABLE HOUSING FILES:
HERNANDEZ, GERSON 2003;
HAYLINGS, MELISSA JEAN 2006;
HARROLD, GREGORY 2004;
KOCHENDORFER, RUTH 2004; KIM,
HENRY & JENNIFER 2013; KIM,
HYUNG-KWAN 2012; VOLZ, KAREN
2014; RUDERMAN, DEBORAH 2003;
RICHARDSON, DEVON 2009; ROSU,
LIVIU 2011
2013 HS-035
LOAN
PAYOFF
+ 5 YRS
359
AFFORDABLE HOUSING FILES:
WEBSTER, KRISTA 2011; BOWERS,
CYNTHIA & SUSAN 2010;
CHAMBERLAIN, MARK & REBECKAH
2008; KNIGHT, GINA & JILL 2012;
EAKIN, EVIN & OLIVIA 2015;
DIGRAZIA, GINA & LOUISE 2012;
COCHRAN, CATHLEEN 2013;
FOGARTY, JEFFEREY PAUL 2014;
CHU, GLORIA & NELSON 2014;
ALLEN, JANE 2014; WYLE, LOUISE
2001
2015 HS-035
LOAN
PAYOFF
+ 5 YRS
358
AFFORDABLE HOUSING LOANS:
MOERSCH, JONATHAN & KRISTIN
2013; SCHERER, THOMAS 2008;
SANCHEZ, ERNESTO & ANA 2009;
SANCHEZ, ORACIO 2005; SACCO,
RICHARD 2003; MOORE, RYAN &
JAMIE 2008; BRUNNER, JIM & KIM
2002; DEAN, SUSEN 2003; BOGAN,
MARTIN 2002; GOLSHAN,
BEHROKH 2007; PRANSKUS,
DIANNA 2008
2013 HS-035
LOAND
PAYOFF
+ 5 YRS
DocuSign Envelope ID: 4104F2A0-33F9-49A4-A032-93818E543CFE
Corodata 10/07/2021
x
Maria Emery 10/06/2021
CCityar
Carlsbad
□ □
Affordable Housing Destruction 9/1/2021
Name Address
YAKELY, KEVIN & SHANNON 6106 RANCHO BRIADA
WYLIE, LOUISE 1308 PHLOX COURT
WINGLOVITZ, GARY & AMY STEWART (WITHDREW)6011 PASEO SALINERO
WEBSTER, KRISTA 6036 PASEO SALINERO
WAGNER, WENDY 6217 SHAMROCK PLACE
WAGNER, MICHAEL & SHAMERA 6042 PASEO SALINERO
VOLZ, KAREN 5202 DON VALDEZ
TINGEY, ERIC 6102 RANCHO BRIADA
SYNODIN, MICHAEL & AMBER KRAMER 6090 PASEO SALINERO
SWEENEY, JEANNE M.2636 HANCOCK CIRCLE
SULEJMANI, GENTI & REED, ALMA 6239 SHAMROCK PLACE
STANLEY, MICHAEL & TRACY 6120 PASEO PICADOR
SEO/KIM, BYOUNG BOO/MISUG 2670 ALAMEDA CIRCLE
SCHUSTER, EMILY 1301 VERBENA COURT
SCHERER, THOMAS 2778 CARLSBAD BLVD #202
SANCHEZ, ORACIO 6134 PASEO ENSILLAR
SANCHEZ, ERNESTO AND ANA 2636 HANCOCK CIRCLE
SACCO, RICHARD 6168 PASEO CAMAS
RUDERMAN, DEBORAH 6086 PASEO SALINERO
ROSU, LIVIU & SIMONA 6137 PASEO GRANITO
RICHARDSON, DEVON 2778 CARLSBAD BLVD #206
PRANSKUS, DIANNA 1327 STATICE COURT
PICCINI, ROCCO T. & DIANNE C.3330 DON QUIXOTE DR
MOORE, RYAN & JAMIE 6049 PASEO SALINERO
MOERSCH, JONATHAN & KRISTIN 6114 RANCHO BRIADA
MASSOUDI, SCHEHEREZED 577 LAGUNA DRIVE
MARQUEZ, PATRICIA 2778 CARLSBAD BLVD #303
MARCHAND, JUSTIN & ERICKA 6158 PASEO PICADOR
LUTZ, CHRISTY 6057 PASEO SALINERO
LUCAS, MARILYN 7025 FORSTERS TERN DRIVE
LINZEY, GENEANE A.1326 STATICE CT
LEHMAN, SHANNA 2644 HANCOCK CIRCL
KOCHENDORFER, RUTH 5184 DON RODOLFO DR
KNIGHT, GINA 6155 PASEO ENSILLAR
KIM, SHARON 6207 LIBERTY PLACE
KIM, HYUNG-KWAN 2678 ALAMEDA CIRCLE
KIM, HENRY AND JENNIFER 2637 HANCOCK CIRCLE
KAHARLANI, ALIREZA & EBTEKARI, LEILA 6003 PASEO SALINERO
JACINTO, CODY AND VANESSA 6209 LIBERTY PLACE
HSU, ALICE 2672 LEIGHTON CIRCLE
HERNANDEZ, GERSON A.6016 PASEO SALINERO
HAYLINGS, MELISSA JEAN 1305 VERBENA CT
HARROLD, GREGORY 1300 VERBENA CT
HALL, CARMEN S.6145 PASEO GRANITO
GOLSHAN, BEHROKH 1317 VERBENA CT
FOSTER, JENNIFER & BLYTHE 6110 RANCHO BRIADA
FOGARTY, JEFFREY PAUL 6220 LIBERTY PLACE
EAKIN, EVIN & OLIVIA 2680 LEIGHTON CRICLE
DIGRAZIA, GINA AND LOUISE 7024 FORSTERS TERN DRIVE
DELEON, SIBYLLE 6133 PASEO ENSILLAR
DEAN, SUSEN 1315 PHLOX CT
COCHRAN, CATHLEEN 6235 SHAMROCK PLACE
CHIU, GLORIA & NELSON 2683 ALAMEDA CIRCLE
CHAMBERLAIN, MARK & REBECKAH 6170 PASEO GRANITO
BRUNNER, JIM & KIM 1316 PHLOX CT
BOWERS-MARINGER, CYNTHIA 6128 PASEO PICADOR
BOGAN, MARTIN 1316 VERBENA CT
BIRD, CHRISTOPHER & ELIZABETH 6004 PASEO SALINERO
BEASLEY, TREVOR 6011 PASEO SALINERO
BAURIN, NADINE 1323 STATICE CT
BALK, SUSAN 6129 PASEO ENSILLAR
BADINER, KEITH S. & MARY 2975 CLIFF CIRCLE
ASLAMI, MOHAMMAD & NAHEED 2903 CLIFF CIRCLE
ALLEN, MARTHA 6065 PASEO SALINERO
ALLEN, JANE 2683 ALAMEDA CIRCLE
ALBERT, DANA I.6183 PASEO CAMAS
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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