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2025-09-19 CC Various Boxes at 519 4th
Date: _-_ q J � J W"Ls Department: 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 3-1-651 through Claims 1982 1985 #10 RM -003 Settlement+5 3-1-755 3-1-871 through Claims Unknown unknown #15 RM -003 Settlement+5 3-1-974 3-1-975 Public Liability Claims (3-1-975 - through 3-1-1099) Unknown Unknown #16 RM -003 Settlement+5 3-1-1099 3-1-1300 through Claims Unknown unknown #19 RM -003 Settlement+5 3-1-1399 3-1-1400 through Claims Unknown unknown #20 RM -003 Settlement+5 3-1-1499 Potential Claims 1985 1992 #21 RM -003 Settlement+5 Claim Settlements 1987 1989 #21 RM -003 Settlement+5 General correspondence, check registers & misc. Risk management 1985 1992 #21 CW -027 2 years reports - 1985 - 1992 HAZMAT - RATS NESTS East San Rafael Traffic/1984 M18 HAZMAT Status Gr. East San Rafael Analysis Miscellaneous (1979 - 1984) Meeting Packets 1982 1991 M62 CC -002 10 years 3-1-37 Resolution through Lawsuits unknown unknown 516 CA -004 3-2-64 +5 Meeting Tapes 1984 1987 T4 CC -041 2 Years Meeting Packets 2004 2004 X57 CC -002 10 years Accounts Payable FY2013-14 8/22/2013 9/20/2013 FN -009 5 years Check#: 298231 - 298650 Accounts Payable FY2013-14 10/7/2013 11/7/2013 FN -009 5 years Check#: 299031 - 299480 Accounts Payable FY 2013/14 4/21/2014 5/23/2014 FN -009 5 years Check#: 302884 - 303340 AR Cash Receipts FY2013-14 3/2013 5/2013 FN -028 5 years Accounts Payable FY 2013/14 6/23/2014 6/30/2014 FN -009 5 years Check#: 303791 - 304266 Accounts Payable FY 2013/14 11/17/2013 11/21/2013 FN -009 5 years Check#: 299481 - 299975 ©1998-2008 Gladwell Governmental Services, Inc Date: Department: ___ Shredding is Required (Records contain private information) DOCUMENTS HAVE BEEN REVIEWED AND APPROVED FOR DESTRUCTION --- -- ----------- Department Head / Division Manager ©1998-2008 Gladwell Governmental Services, Inc. --------------- Date Accounts Payable FY 2013/14 6/6/2014 6/23/2014 FN -009 5 years Check#: 303641 - 303790 When no Quadrant Receipts 3/2014 6/2014 FN -020 longer Closed Planning Projects required AR Cash Receipts FY2013-14 12/2013 2/2014 FN -028 5 vears Accounts Payable FY 2013/14 11/21/2013 12/18/2013 FN -009 5 years Check#: 299481 - 299975 AR Cash Receipts FY2013-14 09/2013 11/2013 FN -028 5 years Accounts Payable FY 2013/14 9/20/2013 10/7/2013 FN -009 5 years Check#: 298651 - 299030 Accounts Payable FY 2013/14 3/6/2014 4/8/2014 FN -009 5 years Check#: 301879 - 302340 Accounts Payable FY 2013/14 2/21/2014 3/6/2014 FN -009 5 years Check#: 301414 - 301878 Master Bank Account Statements July -June 2012 2011 2012 FN -010 5 years Diesel Fuel Tax Returns 2011 Data Ticket Monthly Reports Mav - June 2011 Accounts Payable FY 2011/12 4/6/2012 4/23/2012 FN -009 5 years Check#: 287947 - 288476 Accounts Payable FY 2013/14 8/12/2013 8/22/2013 FN -009 5 years Check#: 297634 - 298230 AR Cash Receipts FY2012-13 1/2013 2/2013 FN -028 5 years AR Folders FY2010-11 AR Cash Receipts FY2012-13 - 6/2013 8/2013 FN -028 5 years FY2013-14 Accounts Payable FY 2013/14 4/8/2014 4/21/2014 FN -009 5 years Check#: 302341 - 302923 Accounts Payable FY 2013/14 11/21/2013 1/24/2014 FN -009 5 years Check#: 300441 - 300870 TOT FN -028 5 years FY2020-11 - FY2013-14 Accounts Payable FY 2013/14 1/24/2014 2/10/2014 FN -009 5 years Check#: 300871 - 301413 Meeting Tapes 12/1971 12/1974 CC -041 2 vears SEIU Negotiations HR -005 Misc. Data (Revenue Sharing 1998 2002 HR2008-40 3 years Survevs) PD & FD Neeotiations Files 1 1998 2002 HR2008-41 HR -011 10 vears Recruitments (Assistant - Police 2004 2004 NA HR -014 8 years Sergeant - Street - Sewer) ___ Shredding is Required (Records contain private information) DOCUMENTS HAVE BEEN REVIEWED AND APPROVED FOR DESTRUCTION --- -- ----------- Department Head / Division Manager ©1998-2008 Gladwell Governmental Services, Inc. --------------- Date Date: City Clerk City ttorn y Department: ---- q-1-q-1-Uts ------- Date _------- ��_ ate (Complete atter 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 ©1998-2008 Gladwell Governmental Services, Inc Date VRC Location an Francisco, CA VRC Location Address: Date: o GW Destruction Date: Destruction Method: Volume: F] Cubic Feet F] Linear Feet NAID Certified Service: F] Tape/Disc AAA E] Bins/Containers E] Other Client Account Number: Client Department: Destruction Authorized by: Record Types Date Span Volume n Cubic Feet El Linear Feet F1 Tape/Disc F1 Bins Total Volume of Records Destroyed El Containers El Other �'1\) QgOA 6XS �\ \` X5 I hereby state the records described above have been destroyed in accordance with the disposal action specified at the top of this form and in adherence with all state and federal laws. Sig ature: D ate: (LL Internal Policy Reference Number 900.56