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Home My WebLink About; ; Records Destruction Authorization Form-Housing Services; 2021-10-07 (4)This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 2021 P a g e | 1 DATE: 9/02/2021 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) 380 AFFORDABLE HOUSING LOANS: CHAPMAN, MICHAEL 2007; LEBLANC, DENISE 2010; WILLIAMS, BEVERLY 2003; CULLINS, DOUGLAS & SANDY 2003; CAMACHO, JOSE & FIERRO, GUADALUPE 2004; ABIFAKER, MANUEL/LEILA/SABAH 2005; DIIORIO, PETER 2010; HUDSON, BPB & FARLEY, ANN 2006; AU-YEUNG, SUN GODFREY & PIYEN, PO & CHUNG-YIN 2004; SANDERS, FREDERICK & WINIFRED 2006; MULLEN, PAUL & LORNA 2003; CAMERINO, ERIC & SHIRLEY 2003 2010 HS-035 LOAN PAYOFF + 5 YRS 377 AFFORDABLE HOUSING LOANS: BYRNE, MICHELLE 2007; SANCHEZ, LISA 2011; DORMANESH, RYAN 2010; DAVIES, STEVEN AND SHELLEY 2009; GROVE, HARRY JR & SHANNON 2008; MCCOMB, STEPHEN 2001 WITHDREW; CISNEROS, PATRICIA 2003; PESTRITTO, SHERRI 2004; METZGER, MATTHEW & MICHAEL 2004; DONLEY, JAMES & MILDRED 2010; WRIGHT, EDITH MAE 2006 2011 HS-035 LOAN PAYOFF + 5 YRS RECORDS DESTRUCTION AUTHORIZATION FORM DocuSign Envelope ID: 4104F2A0-33F9-49A4-A032-93818E543CFE See attached 09-09-2021 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 P a g e | 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: ___________________________ DATE: ______________ CERTIFICATE OF DESTRUCTION? YES NO TAB BARCODES DELETED BY: _____ _______________________________ DATE: ______________ 360 AFFORDABLE HOUSING FILES: KERN, MARCELLA 2015; SMITH, JAMES & BARBARA 2014; WARNER, DIANE F 2014; MILAM, MOBLEY 2011; CANNON, KELLY 2010; CHAVEZ, MARK 2009; ZOBITZ, SUZANNE 2009; JOHNSON, DOLORES 2005; CHAFFIN, MILDRED 2005; LEONE, YOLANDA 1999 2015 HS-035 LOAN PAYOFF + 5 YRS 115 AFFORDABLE HOUSING FILES: LARSON, DOUGLAS & JODY 2001; LAURENT, MELVIN & MOREE 1999; MACLELLAN, GERALD G 1999; WARHOL, LACEY T 2003; GARRIDO, GISSELLE 1999; MERCER, TIMOTHY & TRACI 2003; HARMIN, PAMELA 2001; HAYWARD, LOUIS 2004; WISDOM, BRIDGETTE LYNNE 2003; LEIDER, JEFF & SCOTT 2004; HATCH, JAMES AND JULIA 2004; EKMECIC, BORKO & VESNA 2005; DELVAL, ERICK & SARAH 2003 2005 HS-035 LOAN 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 Name Address ZOBITZ, SUZANNE M.2682 LEIGHTON CIRCLE WRIGHT, EDITH MAE 5351 DON RICARDO DR WISDOM, BRIDGETTE LYNNE 1329 VERBENA COURT WILLIAMS, BEVERLY R.5431 DON LUIS DR. WARNER, DIANE F.3484 DON ALBERTO DR WARHOL, LACEY T.1333 VERBENA COURT SMITH, JAMES R. & BARBARA j.3485 DON ARTURO DR SANDERS, FREDERICK & WINIFRED 5357 DON MIGUEL SANCHEZ, LISA 6206 LIBERTY PESTRITTO, SHERRI 1311 PHILOX COURT MULLEN, PAUL & LORNA 2991 PASEO ALMIAR MILAM, MOBLEY M.2778 CARLSBAD BLVD 204 METZGER, MATTHEW J. & MICHAEL R.6121 PASEO ENSILLAR MERCER, TIMOTHY & TRACI 2969 CLIFF CIRCLE MACLELLAN, GERALD G.1312 VERBENA CT LEONE, YOLANDA C.3478 DON LORENZO DR LEIDER, JEFF & SCOTT 6118 RANCHO BRIADA LEBLANC, DENISE 2681 ALAMEDA CIRCLE LAURENT, MELVIN & MOREE (CANCELLED)1307 PHLOX COURT LARSON, DOUGLAS & JODY 3700 AZIMUTH PLACE KERN, MARCELLA 1619 TAMARACK AVE. JOHNSON, DOLORES 5302 DON ALVAREZ DR HUDSON, BOB & FARLEY, ANN 2995 PASEO ALMIAR HAYWARD, LOUIS 1321 VERBENA CT HATCH, JAMES & JULIA 6172 PASEO CAMAS HAMRIN, PAMELA 3700 HIGHLAND DR #10 GROVE, HARRY JR & SHANNON 2681 ALAMEDA CIRCLE GARRIDO, GISSELLE 1331 STATICE COURT EKMECIC, BORKO & VESNA 6082 PASEO SALINERO DORMANESH, RYAN M.2676 LEIGHTON CIRCLE DONLEY, JAMES T. & MILDRED W.3302 DON DIABLO DR. DIIORIO, PETER 2640 HANCOCK CIRCL DELVAL, ERICK & SARAH 6125 PASEO ENSILLAR DAVIES, STEVEN AND SHELLEY 6204 LIBERTY PLACE CULLINS, DOUGLAS & SANDY 2915 RANCHO POSTA CISNEROS, PATRICIA 1334 STATICE CT CHAVEZ, MARK R.2778 CARLSBAD BLVD 208 CHAPMAN, MICHAEL 2778 CARLSBAD BLVD 304 CHAFFIN, MILDRED 5354 DON MIGUEL CANNAN, KELLY 2778 CARLSBAD BLVD 302 CAMERINO, ERIC & SHIRLEY 6184 PASEO CAMAS CAMACHO, JOSE & GIERRO, GUADALUPE 6132 PASEO PICADOR BYRNE, MICHELLE M.2643 HANCOCK CIRCLE AU-YEUNG, SUN GODFREY & PIYEN, PO & CHUNG-YIN 6007 PASEO SALINERO ABIFAKER, MANUEL/LEILA/SABAH 6175 PASEO CAMAS MCCOMB, STEPHEN R.WITHDREW 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.