HomeMy WebLinkAbout2017-07-25 Fin Business LicensesDate: a
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RECORDS DESTRUCTION AUTHORIZATION FORM
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, investigation, or audit.
(List records here, or attach a list)
File # Records Description
Start Date
End Date
Box # Retention Retention
# Period
Y Shredding is Required (Records contain private information)
DOCUMENTS HAVE BEEN REVIEWED AND APPROVED FOR DESTRUCTION
Department Head / Division Manager
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City Clerk
City Attorney
Date
Date
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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 Performing Destruction
01998-2008 Gladwell Governmental Services. Inc
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Date