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HomeMy WebLinkAbout2022-01-08 PS Meter Revenue 2016p1titS!^
Date: ( Z-Depafrrertt:
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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
Start Datc
End Date
RetentiQq
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Period
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4/Shredding is Required (Records contain private information)
DOCUMENTS HAVE BEEN REVIEWED AND APPROVED FOR DESTRUCTION
(i Gam- (k, 1
en ea / Division Manager
City Clerk
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City Attorney
1 � l✓ /'?
Date
Date
� 2022�
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.)
©1998-2008 Gladwell Governmental Services, Inc
Date:
Department:
HEREBY CERTIFY that the items listed above have been destroyed in accordance with City policies and
procedures:
Employee Performing Destruction Date
©1998-2008 Gladwell Governmental Services, Inc.