HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Library & Cultural Arts; 2021-12-3011-23-2021 12/15/2021
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 11/10/2021
REQUESTING DEPARTMENT: LIBRARY & CULTURAL ARTS REQUESTER: LAUREL MATAIS/HUGH BARKER
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.
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RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
Cash Receipts Report/ Detail/
1 Backup/ Accounts Receivable 2014/2015 LIB-000 2 YEARS N/A Detail/Refund Detail/Cole
Cash Receipts Report/ Detail/
2 Backup/ Accounts Receivable 2015/2016 LIB-000 2 YEARS Detail/Refund Detail/Cole
Cash Receipts Report/ Detail/
3 Backup/ Accounts Receivable 2016/2017 LIB-000 2 YEARS Detail/Refund Detail/Cole
Cash Receipts Report/ Detail/
4 Backup/ Accounts Receivable 2017 LIB-000 2 YEARS Detail/Refund Detail/Cole
Cash Receipts Report/ Detail/
5 Backup/ Accounts Receivable 2016 LIB-000 2 YEARS Detail/Refund Detail/Cole
Cash Receipts Report/ Detail/
6 Backup/ Accounts Receivable 2018 LIB-000 2 YEARS Detail/Refund Detail/Cole
Cash Receipts Report/ Detail/
7 Backup/ Accounts Receivable 2018 LIB-000 2 YEARS Detail/Refund Detail/Cole
Miscellaneous reference LIB-000 8 documents/Cole 2014-2018 2 YEARS
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program
{'city of
Carlsbad Revised: 2021
Pag e /1
* 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: __________ _
CERTIFICATE OF DESTRUCTION? 0 YES
TAB BARCODES DELETED BY:
0 NO
------------------
DATE: _____ _
DATE: -------
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
('Cityof Carlsbad Revised: 2021
Page /2
Corodata 12/30/2021
x
- -
Account #(s)SD012455
Certificate #101376
Date Issued Monday, January 03, 2022
Service Locations 5815 EL CAMINO REAL
Date Range of Service Dec-30-2021 thru Dec-30-2021
Work Ticket(s)912008
Quantity/Item
1 -CALL 20 MINUTES RPIOR TO
ARRIVAL - 760-271-6841
50 -50 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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