HomeMy WebLinkAboutRecords Destruction - 1990 - 2005 Certificate of Life Formsq F FI p __ mil, y aE . �,� t _ ��n _ t' �! i
City Clerk Department, Division July 30, 2008
Caren Ferrera Robin Lugar
Name of Departmental Records Coordinator Name of Division Head
Records on each sheet should all be of the same type. multiple boxes with various dates are permissible as long as the records
otherwise have a single description.
The following records have been identified for destruction (refer to the Records Manual for Proper Destruction Procedures)
Box ID
Description and Date of Contents
Hold
Person Placing Hold
Explanation for Hold
In accordance with the Citywide or Department
Retention Schedule of approved by Huntington Beach
City Council Resolution 2002-09 on February 4,
2002and updated by Resolution No. 2008-23 on April
21, 2008
- -
Certificate of Life Forms from 1990 - 2006
❑
(These forms are required quarterly from the
countries of origins of non -citizens living in the
USA so the non -citizen can continue receiving
his/her foreign pension)
- -
❑
Note: Your signature below indicates that your office hasl reviewed this list of records and agrees to authorize their
destruction or placed a "hold" with an "explanation". Response is required within 30-days of the above date.
Signatures:
Department Records Cgprdinator
Signatures: 41 J,44Z.4,
Depa ment ffeid 0, —
Once records have en approved for destruction,
destruction.
Division "Head Records Center Manager
City Attorney
it will be the responsibility of the Lead Department to arrange for appropriate
THE COMPLETED REQUEST FOR DESTRUCTION OF RECORDS FORMS ARE TO BE MAINT AINED PERMANENTLY.
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