HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Clerk; 2022-08-11 (2)RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 7/13/2022 -----------
REQUESTING
DEPARTMENT: CITY CLERK
DESTRUCTION APPROVALS:
REQUESTER: SHERRY FREISINGER
We certify thaqhe records listed below have been retained for the scheduled retention period, required audits have been
complete , and ho pending or ongoing litigation·or investigation involving these records is known to exist.
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DATE RECORDS MANAGEMENT: DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO.
Public Records Requests 2015/2016 CC-210
CITY ATTORNEY: DATE
RRS TAB BARCODE
PERIOD (if applicable)
2 yrs N/A
*If more spaces ore needed, click in the last box in right hand corner of table and hit "tab". This will create more fields in the table.
DATE: _____ _
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: __________ _
CERTIFICATE OF DESTRUCTION? 0 YES 0 NO
SMEADSOFT BARCODES DELETED BY: DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
(°'Cityof Carlsbad Revised: 7/13/2022.
4 boxes
07-28-2022 8/5/2022
CORODATA 8/11/2022
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DEPARTl\{IENT HEAD:
Account #(s)SD012455Certificate #101838Date IssuedMonday, August 15, 2022Service Locations5815 EL CAMINO REALDate Range of ServiceAug-11-2022 thru Aug-11-2022Work Ticket(s)1004451Quantity/Item74 - 74 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 & RECYCLINGThis Certificate is presented to: CITY OF CARLSBAD - RECORDS MANAGEMENT DIVISIONPer 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.tJcorodata m ~,~ SSAE16 Type II Audit Completed HIP.NA