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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Attorney; 2023-06-15RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 5/4/2023 REQUESTING DEPARTMENT: CITY ATTORNEY REQUESTER: ROBIN NUSCHY 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 BOX NO. RECORDS DESCRIPTION DATED DATE � &!tb 5/v/:1()2-3 CITY ATTORNEY DATE RRS NO. RRS TAB BARCODE PERIOD (if applicable) *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 0 NO TAB BARCODES DELETED BY: _____________ _ DATE: ------- This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. (city ofCarlsbad Revised: 2021 Page /1 85 boxes CA-015 Minimum Final Resolution + 5 yrs N/A 2013Marbella Litigation Files 05-04-2023 Corodata0 -- -- 6/15/2023 X ~ ~ 5/'rlnL~ /J a:e-v~(A,HU(L - - -.. Account #(s)SD012455 Certificate #102455 Date Issued Monday, June 19, 2023 Service Locations 5815 EL CAMINO REAL Date Range of Service Jun-15-2023 thru Jun-15-2023 Work Ticket(s)1153680 Quantity/Item 116 -116 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•Jcorodata -tl HIPA'A GIJIJlll!affl