HomeMy WebLinkAbout2018-01-22 FD RecordsDate: 1/8/2018 Department.
RECORDS DESTRUCTION AUTHORIZATION FORM
Finance
The records listed below (or on the attached list) are scheduled to be destroyed, as indicated on the Records
Retention Schedule.
The records are not the subject of any claim, litigation, nvestigation, or audit
(List records here, or attach a list)
File # Records Description Start Date End Date Box # Retention Retention
# Period
- . -----
X Shredding is Required (Records contain private information)
DOCUMENTS HAVE BEEN REVIEWED AND APPROVED FOR DESTRUCTION
Department Head / Division Manager
1`�
City Clerk
Attorney
1/8/2018
Date
1/8/2018
Date
1/8/2018
Date
(Complete after destruction has been performed, if done by City Employees. If destruction is performed by a
commercial vendor, have them provide you with a certificate )
HEREBY CERTIFY that the items listed above have been destroyed in accordance with City policies and
procedures
Employee PerforminU Destruction
fi j9E 2005 Gladwe 13o,e,nmentar Ser,ices I,;-
Date
Marin Sanitary Document Shredding Service
535 Jacoby St, San Rafael, CA 94901 (415)456-2601
11 Payment
New Acct. # Method
EVAERVIC� ?�
Amount Paid $ /
CUSTOMER Copy
Date
Staff Int.
Account #
# of Bins
# of Boxes
11 Payment
New Acct. # Method
EVAERVIC� ?�
Amount Paid $ /
CUSTOMER Copy