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Home My WebLink About284-20 RESOLUTIONOF FPYETTF. V ..T I�A _ ix: a'KAN5P 113 West Mountain Street Fayetteville, AR 72701 (479) 575-8323 Resolution: 284-20 File Number: 2020-0935 ADVANCED INFORMATION MANAGEMENT (AIM): A RESOLUTION TO AUTHORIZE THE DESTRUCTION OF CERTAIN RECORDS SHOWN ON THE ATTACHED AFFIDAVITS PURSUANT TO RELEVANT SECTIONS OF THE ARKANSAS CODE RELATED TO MAINTENANCE AND DESTRUCTION OF ACCOUNTING AND OTHER CITY RECORDS WHEREAS, the Arkansas Code establishes the amount of time that the City is required to maintain accounting, court and other records and also provides a procedure for the destruction of records not required to be maintained permanently if the records to be destroyed have been microfilmed or scanned into the City's server or have been maintained for the amount of time required by state law. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS: Section 1. That the City Council of the City of Fayetteville, Arkansas hereby authorizes the Fayetteville City Clerk -Treasurer's Office to destroy the paper copies of certain accounting and other City records identified in the affidavits attached to this Resolution pursuant to the Arkansas Code relating to the maintenance and destruction of records. PASSED and APPROVED on 11/17/2020 Page 1 Printed on 11118120 Resolution: 284-20 File Number: 2020-0935 Attest: OJY Kara Paxton, City Clerk Treasurer : FAYtTrELLE 9Q/rgNSAS i6 6 ION' COP ```"' Page 2 Printed on 11118120 City of Fayetteville, Arkansas 113 West Mountain Street Fayetteville, AR 72701 �E (479) 575-8323 ,- Text File File Number: 2020-0935 Agenda Date: 11/17/2020 Version: 1 Status: Passed In Control: City Council Meeting Fite Type: Resolution Agenda Number: A 5 ADVANCED INFORMATION MANAGEMENT (AIM): A RESOLUTION TO AUTHORIZE THE DESTRUCTION OF CERTAIN RECORDS SHOWN ON THE ATTACHED AFFIDAVITS PURSUANT TO RELEVANT SECTIONS OF THE ARKANSAS CODE RELATED TO MAINTENANCE AND DESTRUCTION OF ACCOUNTING AND OTHER CITY RECORDS WHEREAS, the Arkansas Code establishes the amount of time that the City is required to maintain accounting, court and other records and also provides a procedure for the destruction of records not required to be maintained permanently if the records to be destroyed have been microfilmed or scanned into the City's server or have been maintained for the amount of time required by state law. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS: Section 1. That the City Council of the City of Fayetteville, Arkansas hereby authorizes the Fayetteville City Clerk -Treasurer's Office to destroy the paper copies of certain accounting and other City records identified in the affidavits attached to this Resolution pursuant to the Arkansas Code relating to the maintenance and destruction of records. City of Fayetteville, Arkansas Page 1 Printed on 1111&2020 Gina Roberts Submitted By City of Fayetteville Staff Review Form 2020-0935 Legistar File ID 11/17/2020 City Council Meeting Date - Agenda Item Only N/A for Non -Agenda Item 10/26/2020 Submitted Date Action Recommendation: CITY CLERK (051) Division / Department A RESOLUTION AUTHORIZING ADVANCED INFORMATION MANAGEMENT (AIM) TO DESTROY CITY RECORDS. THE RECORDS HAVE BEEN MICROFILMED, SCANNED OR HAVE BEEN MAINTAINED FOR THE REQUIRED LENGTH OF TIME Budget Impact: 1010.051.1510-5315.00 General Account Number Fund Project Number Project Title Budgeted Item? Yes Current Budget $ 2,500.00 Funds Obligated $ 26.85 Current Balance 2,413.15 Does item have a cost? Yes Item Cost $ 1,725.00 Budget Adjustment Attached? No Budget Adjustment Remaining Budget 748.15 V20180321 Purchase Order Number: Previous Ordinance or Resolution # Change Order Number: Approval Date: Original Contract Number: Comments: 69233391 Invoice Date: 12/31/2020 Invoice #1938364 STANDARD MONTHLY FEE VRC ACCOUNTS PAYABLE CITY OF FAYETTEVILLE 113 WEST MOUNTAIN STREET FAYETTEVILLE , AR 72701 STORAGE SUMMARY 0 CONTRACTED CUBIC FEET 0 ADDITIONAL CUBIC FEET ACTIVITY SUMMARY 0 CONTRACTED ACCESSES PER MONTH 0 TOTAL ACCESSES NEW BOX SUMMARY 0 CONTRACTED INDUCTIONS PER MONTH 0 TOTAL NEW BOXES (for a total of 0 cubic feet) DESTRUCTION SUMMARY 0 CONTRACTED DESTRUCTIONS PER MONTH 0 TOTAL BOXES DESTROYED/PERM-OUT (for a total of 0 cubic feet) 0 CONTRACTED DESTRUCTION ROTATIONS PER MONTH 40 TOTAL DESTRUCTION ROTATIONS/LBS 40 TOTAL RPS - RECYCLE FEE DELIVERY SUMMARY 0 CONTRACTED STANDARD DELIVERIES PER MONTH 0 TOTAL STANDARD DELIVERIES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,800.00 $0.00 $0.00 $0.00 OTHER SERVICES 1 TOTAL SPC - Special Services $150.00 Invoice Total $1,950.00 This invoice represents charges in advance for the "Standard Monthly Fee" which includes Contracted Storage and Services for 01/01/2021 to 01/31/2021 and charges in arrears for "Additional Storage" and any Service Transactions with a date from 12/01/2020 to 12/31/2020 inclusive. Please Remit To: Vital Records Control Dept. 5874 PO Box 11407 Birmingham, AL 35246-5874 Springdale: (479) 751-8120 ar@vrcnetwork.com NET DUE: 15 DAYS * Past due amounts are subject to a finance charge of 1.50 % per month FOMW 69233391 Invoice Date: 12/31/2020 Invoice #1938364 VRC ACCOUNTS PAYABLE CITY OF FAYETTEVILLE 113 WEST MOUNTAIN STREET FAYETTEVILLE , AR 72701 INVOICE SUMMARY (69233391) CITY OF FAYETTEVILLE Invoice #1938364 (Dec 31, 2020) Contracted Storage: 0 Additional Storage Amount: $0.4 per cubic foot Additional Storage: Total Additional Storage Amount: $ Total Storage: Standard Monthly Fee: $0 Total Storage Fee: Sub Dept Other Dept Storage Storage Storage Services Destruct Box Sales Total BG Code Sort Name Used Percent Fee Services Sales Tax DEFAULT DEFAUL Default 0.00 100.00% $0.00 $0.00 $1.00 $0.00 $0.00 $1,590.00 DEFAULT DISTRI District Court 0.00 0.00% $0.00 $0.00 $360.00 $0.00 $0.00 $360.00 Total 0.00 100.00% $0.00 $0.00 $361.00 $0.00 $0.00 $1,950.00 AFFIDAVIT OF DESTRUCTION OF CITY OF FAYETTEVILLE RECORDS STATE OF ARKANSAS ) ) SS: COUNTY OF WASHINGTON ) I, Gina Roberts, Document Manager for the City of Fayetteville, do hereby certify that the records listed as Exhibit "A" have been retained for the required number of years. I further certify the following: That the documents listed in Exhibit "A" attached hereto and made a part hereof are being destroyed by the City of Fayetteville as authorized by Fayetteville City Council Resolution Noaq--OLD adopted on the 0day of Nchvl(,r , XZ0 2. These records have been maintained according to State statute and the Retention Schedule for the City of Fayetteville. 3. The method of destroying said documents was shredding. aP--F5% F R G na Roberts, Document Manager C&Council M i e ,- 'Vitness Subscribed and Sworn to me, a Notary Public, this 4&z day of0-U My Commission Expires: 1.211.1 SEAL ��GA I , LFf°�i, • ��• oar .y� PT31,�. ,''�' �d�oui Ili�O ��`�� AFFIDAVIT OF DESTRUCTION OF CITY OF FAYETTEVILLE RECORDS STATE OF ARKANSAS ) ) SS: COUNTY OF WASHINGTON ) I, Gina Roberts, Document Manager for the City of Fayetteville, do hereby certify that the records listed as Exhibit "A" have been retained for the required number of years. I further certify the following: 1. That the documents listed in Exhibit "A" attached hereto and made apart hereof are being destroyed by the City of Fayetteville as authorized by Fayetteville City Council Resolution No.Y-2y' 20 adopted on the %-7 day of DY210 2. These records have been maintained according to State statute and the Retention Schedule for the City of Fayetteville. 3. The method of destroying said documents was shredding. AAA ina Roberts, Document Manager - . — Council Member, Witness/ Subscribed and Sworn to me, a Notary Public, this day of 617 My Commission Expires: SEAL ,�oTARr 0,;- N No blic DOCUMENTS DEPARTMENT SCANNED HELD # BOXES 2008 CASHIER BALANCE REPORT, FEB 2009 CASH REGISTER & DEC 2002 W/S INVENTORY, 2005 JAN CASH DEPOSIT REGISTER & DAILY CASH POSTING REGISTER JULY 2008 (SCANNED) 2002 & 2003 A/R PAYMENT EDIT LISTING A/P REGISTER 1/09-12/09 A/P POSTING (UTILITY REFUND) JAN-DEC A/R REGISITER 1/98 TO 12/98 1/10 TO 7/10 A/P CASH PAYMENT JOURNAL & NOV 2009 CASH PAYMENT JOURNAL 2009 CASH RECEIPT REGISTER JAN & MAR 2010-2014 CONTRACTS 917-2322 2011 A/P-CARDS & BACK-UP AUGUST 2011 CASH SHEETS JAN-DEC 2014-2016 CONTRAT 2297-2402 2017 TRAVEL & TRAINING A-Z 2018 TRAVEL & TRAINING A-Z DUPLICATE COPIES OF W/S & HMR BOND DOC ACCOUNTING NO HELD 2 ACCOUNTING NO HELD 2 ACCOUNTING NO HELD 1 ACCOUNTING NO HELD 1 ACCOUNTING MICROFILMED HELD 1 ACCOUNTING NO HELD 1 ACCOUNTING NO HELD 1 ACCOUNTING YES 1 ACCOUNTING YES 1 ACCOUNTING YES 4 ACCOUNTING YES 1 ACCOUNTING YES 2 ACCOUNTING YES 2 ACCOUNTING YES 2 DOCUMENTS DEPARTMENT SCANNED HELD # BOXES 2001 BUDGET WORKPAPERS BUDGET NO HELD 4 STREET INSPECTION FILES OCT 2002 A-0 BUILDING SAFETY YES 1 2014 CITY CLERK CONTRACTS CITY CLERK YES 1 2015 CITY CLERK CONTRACTS CITY CLERK YES 1 1994-2000 HOME FUNDING FILES COMMUNITY RESOURCES YES 1 FLYERS FOR HOT CHECK PROGRAM DISTRICT COURT NO 1 OLD DISPOSED BONDS MEN FILES DISTRICT COURT IN SYSTEM HELD 1 1992 WARRANTS DISTRICT COURT IN SYSTEM HELD 1 1993 PURGED WARRENTS DISTRICT COURT IN SYSTEM HELD 1 1995 PURGED WARRENTS DISTRICT COURT IN SYSTEM HELD 1 DELEATED WARRANTS 97-5218 TO 97-9390 DISTRICT COURT IN SYSTEM HELD 1 1997 THRU 2007 CIVIL CASES SETTLED DISTRICT COURT IN SYSTEM HELD 18 1999-2002 CRIMINAL REFUND CHECKS DISTRICT COURT IN SYSTEM HELD 1 2000 DIST COURT CLERK FILES & APPEALS 95-2000 DISTRICT COURT IN SYSTEM HELD 2 2001 CIVIL CASES NOT SETTLED DISTRICT COURT IN SYSTEM HELD 1 2001-2002 PURGED WARRANTS A-Z DISTRICT COURT IN SYSTEM HELD 3 2003-2006 DISTR COURT CLERKS FILES IN OUT CORR DISTRICT COURT IN SYSTEM HELD 4 2004-2006 COUNTY CORRESPOINDENCE DISTRICT COURT IN SYSTEM HELD 1 2005 COURT INFORMATION SHEET A-Z DISTRICT COURT IN SYSTEM HELD 2 DOCUMENTS DEPARTMENT SCANNED HELD # BOXES 2008 FIRE DEPT COPIES OF PAYROLL 14-26 FIRE DEPT NO 1(AII of the Fire Dept Files have been scanned with Accounting Files) 2009 FIRE DEPT COPIES OF PAYROLL 1-2 FIRE DEPT NO 1(AII of the Fire Dept Files have been scanned with Accounting Files) 2009 FIRE DEPT COPIES OF PAYROLL 24-27 FIRE DEPT NO 1(AII of the Fire Dept Files have been scanned with Accounting Files) 2010 FIRE DEPT COPIES OF PAYROLL 1-26 FIRE DEPT NO 2(AII of the Fire Dept Files have been scanned with Accounting Files) 2001-2003 FIRE DEPT COPIES OF VENDOR FILES FIRE DEPT NO 2(AII of the Fire Dept Files have been scanned with Accounting Files) 2004-200S FIRE DEPT COPIES OF VENDOR FILES FIRE DEPT NO 2(AII of the Fire Dept Files have been scanned with Accounting Files) 2006 FIRE DEPT COPIES OF VENDOR FILES FIRE DEPT NO 2(AII of the Fire Dept Files have been scanned with Accounting Files) 2007 FIRE DEPT COPIES OF VENDOR FILES FIRE DEPT NO 2(AII of the Fire Dept Files have been scanned with Accounting Files) 2008 FIRE DEPT COPIES OF VENDOR FILES FIRE DEPT NO 1(AII of the Fire Dept Files have been scanned with Accounting Files) 2009 FIRE DEPT COPIES OF VENDOR FILES FIRE DEPT NO 1(AII of the Fire Dept Files have been scanned with Accounting Files) 2010 FIRE DEPT COPIES OF VENDOR FILES FIRE DEPT NO 1(AII of the Fire Dept Files have been scanned with Accounting Files) DOCUMENTS DEPARTMENT SCANNED HELD # BOXES POLCIE ENTRY LEVEL APPLIC PROM TESTING HR NO HELD 1 1999 W/S PHYSICAL INVENTORY INTERNAL AUDITOR NO HELD 1 2000 & 2001 PHYSICAL INVENTORY SHOP, PUR, W/S INTERNAL AUDITOR NO HELD 1 2000 RECONCILED & ADJUSTMENT INVENTORY INTERNAL AUDITOR NO HELD 1 2001 INVENTORY TRANSACTIONS INTERNAL AUDITOR NO HELD 2 2001 & 02 DEPRECIATION INVEN & SHOP PHY INVEN INTERNAL AUDITOR NO HELD 2 2001 FIXED ASSEST CHARGES & W/S PHY INVEN INTERNAL AUDITOR NO HELD 1 2001 & 2002 WAREHOUSE INVENTORY ADJUST & INTERNAL AUDITOR NO HELD 1 2001 & 2003 INVENTORY RECONCILIATION INTERNAL AUDITOR NO HELD 1 12/00 -6/01 INVENTORY COST REPORT, INTERNAL AUDITOR NO HELD 1 2002 INVENTORY WORK SHEET-500-900 INTERNAL AUDITOR NO HELD 1 W/S OCT 2003 INVENTORY & INTERNAL AUDITOR NO HELD 1 PHYSICAL INVENTORY 10/03 TO 12/03 2006 WAREHOUSE INVENTORY INTERNAL AUDITOR NO HELD 1 1/1899-5/31/98 PURGED TICKET PD STATUS PARKING ENFORCEMENT NO HELD 1 NEW TICKETS POSTED & VOID & PAID TICKETS & PARKING ENFORCEMENT NO HELD 1 NEW TICKETS POSTED 1/01-4/01 & 8/01-10/01 POSTED PAYMENT 2006, INVOICES 2000 OUTSTANDING TICKETS PRIOR 1988 (MICROFILMED) & PURGED TICKETS PD STATUS THRU 5/31/1998 NEW TICKETS POSTED & VOIDS 4/09- 6/09 & NOTICES SENT; TICKETS POSTED 1/07-6/07 & TICKETS PAYMENT POSTED 1/07-12/07 2006 PURCHASE ORDERS 06-1300-06-1973 2011 PURCHASE ORDERS 11-001 THRU 11-399 2011 PURCHASE ORDERS 11-400-11-539 & C/ORD 2005 RFP 05-17 & RFQ 05-19 2007 RFP-07-10, 07-13, 07-14, 07-17, 07-18 2013 RFP & RFQ 1301 TO 13-18 2013 PURCHASE ORDERS 13-001-13-537 2014 PURCHASE ORDERS 14-001-14-515 2015 PURCHASE ORDER 15-001-15-439 2015 PURCHASE ORDERS 15-490-15-547 & C/ORD 2016 PURCHASE ORDERS 16-001-16-391 2002 RFP & RFQ 02-11 TO 02-22 2003 BIDS 03-47-03-60,03-62 & 64 &03-78 2010 RFP & RFQ 03,06,08 & 09 2013 BIDS 13-01-13-33 PARKING ENFORCEMENT NO HELD 1 PARKING ENFORCEMENT NO HELD 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 PURCHASING YES 1 DOCUMENTS 2009 LOAD TICKET/MULCH TICKETS 1990-1995 PUBLIC WORK DEPT CORRES FILES 1/98 THRU 1/99 SHOP/FLEET WORKORDERS 2018 VEH, OFFICE&FACILITY INSPECTIONS 1997 PAYMENT REGISTER 2001 UTILITIES REFUNDS JAN-DEC 2004 UTILITY REFUNDS 1/5 TO 12/31 2005 BANK DRAFT REGISTERS JAN-SEP 2005 DEPOSIT REGISTER, 4/05-7/05 REFUND DEPOSIT REGISTER & CASH RECEIPT REGISTER 2006-2006 UPDATED METER READS FROM PC 2008 DAILY CASH POSTINGS -AUGUST & CASH REGISTERS MAY THRU JULY OCT 2010 & APR 2009 CASH SHEET REGISTER 2016-2019 UTILITES APPLICATIONS 1999 W/S WORK ORDERS (WATER) A-R 2001 W/S WORK ORDERS (WATER) A-S 2001 W/S WORK ORDERS (WATER)T-Z 2001 W/S WORK ORDERS (SEWER) A-L SOLID WASTE TRANSPORTATION TRANSPORTATION TRANSPORTATION UTILITIES FINANCIAL UTILITIES FINANCIAL UTILITIES FINANCIAL UTILITIES FINANCIAL UTILITIES FINANCIAL UTILITIES FINANCIAL UTILITIES FINANCIAL SCANNED HELD # BOXES NO YES YES YES NO YES YES NO NO NO NO HELD 9 1 1 1 HELD 1 2 2 HELD 2 HELD 1 HELD 3 HELD 1 UTILITIES FINANCIAL NO HELD 1 UTILITIES FINANCIAL YES 19 WATER & SEWER YES 1 WATER & SEWER YES 1 WATER & SEWER YES 1 WATER & SEWER YES 1 AFFIDAVIT OF DESTRUCTION OF FAYETTEVILLE DISTRICT COURT RECORDS I, Dena Stockalper, do hereby certify that the following records of the Fayetteville District Court, have been retained for at least three (3) years as specified under Ark. Code Ann. 16-10-211 and have been audited as required by law. The records listed below, covering the time period stated, are to be destroyed by shredding said records. TYPE OF RECORD Receipts and Deposit Records Deposits Records Payroll records Police Tickets books Purged warrants Misc. Clerk files Distribution reports Alternative service/Community Service sheets Receipts and disbursement journals Misc. reports Time payment records Citations books Miscellaneous fee and fine report TIME PERIOD 1/1/2010 - 12/31/2016 1/1/2010—12/31/2016 1/l/2010 - 12/31/2016 1/l/2010 - 12/31/2016 1/l/2010 - 12/31/2016 1/l/2010 - 12/31/2016 1/l/2010 - 12/31/2016 1 / 1 /2010 - 12/31/2016 1/1/2010 - 12/31/2016 1/l/2010 - 12/31/2016 1 / 1 /2010 - 12/31/2016 1/l/2010 - 12/31/2016 1/l/2010 - 12/31/2016 Dena Stockalper Chief; erk Judge William Storey f City Council Members this day of U c , ��o .`.. s ,4�.5�•.,, ME WH�RE• � MY COMMISSION # 12698904 EXPIRES: August 19, 2026 ' rX� Washington County 1011612020 Arkansas Code § 16-10-211 (2019) - Record Retention Schedule :: 2019 Arkansas Code :: US Codes and Statutes :: US Law:: Justia Laws & Legal Resources. Go to previous versions of this Section 2o19 Arkansas Code Title 16 - Practice, Procedure, and Courts Subtitle 2 - Courts and Court Officers Chapter 10 - General Provisions Subchapter 2 - Accounting Practices § 16-10-211. Record Retention Schedule iniversal Citation: AR Code § 16-10-211 (2019) a) All towns, cities, and counties of the State of Arkansas shall maintain records for the district courts tnd are to: (1) Permanently maintain: (A) Case indices for all district courts; (B) Case dockets for all district courts; (C) Active warrants; (D) Waivers; (E) Expungement and sealed records; (F) Files concerning convictions under the Omnibus DWI or BWI Act, § 5-65-101 et seq.; and (G) Domestic battering files; (2) Maintain for a period of at least seven (7) years and in no event dispose of before being audited: tips://law.justia com/codes/arkansas/2019/title-16/subtitle-2/chapter-10/subchapter-2/section-16-10-211/ 1/3 10/16/2020 Arkansas Code § 16-10-211 (2019) - Record Retention Schedule: 2019 Arkansas Code US Codes and Statutes:: US Law Justia (b) After a town, city, or county has maintained records for the time periods required by subdi-vision (a) (2) or subdivision (a)(3) of this section and after the records described in subdivision (a)(2) or subdivision (a)(3) of this section have been audited, the records may be destroyed. (e) When records are destroyed under subsection (b) of this section, the town, city, or county shall document the destruction by the following procedure: (1) An affidavit is to be prepared stating: (A) Which records are being destroyed and to which period of time the records apply; and (B) The method of destruction; and (2) The affidavit is to be signed by the town, city, or county employee performing the destruction and one (i) employee of the governing body or, if applicable, governing bodies that contribute to the expenses of the court. ;d) In addition to the procedure described in subsection (c) of this section, the approval of the governing Body or, if applicable, governing bodies that contribute to the expenses of the court shall be obtained Before the destruction of district court records and an appropriate note of the approval indicated in the ninutes of the governing body or bodies along with the destruction affidavit. Disclaimer: These codes may not be the most recent version. Arkansas may have more current or accurate information. ,Ne make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on his site or the information linked to on the state site. Please check official sources. ttps://law.justia. com/codes/ark ansas/2019ltitte-16/subtitle-21cliapter-10/subchapter-2/section-16-10-211 / 3i 3 VRC Location Springdale, AR VRC Location Address: 1720 E. HWY 264 Springdale, AR 72764 Destruction Date: 12/4 & 12/9/2020 NAID Certified Service: YES AAA Client Account Number: 69233391 Record Types Total Volume of Records Destroyed Destruction Method: SHREDDING Client Department: Date Span STRUCTION CERTIFICATE CONTROL COMPANIES Date: 12/09/2020 Volume: Cubic Feet Linear Feet Tape/Disc 0 Bins/Containers Other Destruction Authorized by: Gina Roberts 740Total Bins Volume Cubic Feet Linear Feet Tape/Disc 0 Bins Containers Other 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. Signature: Date: 12/09/2020 71 Internal Policy Reference Number 900.56 ECORDS DESTRUCTION CERTIFICATE TAL RECORDS CONTROL COMPANIES VRC Location Date: Z VRC Location Address: Destruction Date: Destruction Method: Volume: i ❑ Cubic Feet Linear Feet NAID Certified Service: ❑ Tape/Disc 51 Bins/Containers 1 Other Client Account Number: Client Department: Destruction Authorized by: C Record Types Date Span Volume Cubic Feet Linear Feet Tape/Disc Bins ❑ Containers ❑ Other Total Volume of Records Destroyed �.I 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. Signature: -� Date: Intemal Policy Referen&, N ber 900.56 Nashville. TN Birmingham, AL Memphis, TN Charleston, SC Little Rock, AR Fort Myers, FL Jackson, MS Lexinaton. KY 615.223-5501 Fax 615-223-5445 205-668-0554 Fax 205-668-0967 901-363-6555 Fax 901-366-0440 SERVICE 843-566-7650 Fax 843-566-7735 501 -374-7775 Fax 501-374-7117 ACTIVITY 239-337-4030 Fax 239-337-4055 601-948 Fax 601 _948- 7622 RECORD 3:3753 859-25 3453 Fax 859-253-9448 R VFjC USE ONLY - PLEASE COMPLETE ALL SECTIONS ORDER TAKER: (VIA) ROUTE: sclougherty (Email) DATE I TIME ORDER TAKEN: DELIVERY TYPE I TIME Fri, Dec 04 @ 8:20 am CST VitalShred (PM) COMMENTS: 101 W. Rock St - Basement. I pm Onsite Shred 35 bins. Will need Certificate of Destruction. District Court will have 100 files to shred. Page 1/1 REQUEST NUMBER S3053843 111111111111111111111111111111111111111111111111111111 Cygtqlalat!�' �'N - PLEASE COMPLETE ALL SECTIONS PF.RS,ON REQUESTING SERVICE: Default DELIVERY I PICK UP DATE: If OVER 20 BOXES GET 12-04-2020 DATE FROM OPS MANAGER I ELEPHONE NUMBER: ACCOUNT NUMBER: 479-444-3420 69233391 DEPARTMENT / COST CENTER: COMPANY NAME: DEFAULT(DEFAULT)-DEFAULT CITY OF FAYETTEVILLE PEND INV OR GREEN FORMS? NEED FLAT BOXES? ADDRESS (STREET. SUITE, FLOOR) NO 113 WEST MOUNTAIN STREET FAYETTEVILLE AR 72701 DELIVER TO OR PICK UP FROM Gina Roberts 1479-444-3420 DELI- VER - Y TO CUSTOMEH STATUS CODES V . eMPUTFR C, BOX L 7ZH - f LAI BOXES B., F, 41 'j L RFID LABEL$ if,��Tus 9fiX Oi-Pa" �TYRE SARCOCIE,COUNT STATUS BVV COUNI 12 2 13 Z �z 3 14 14 5 6 19 9 �20 10 21 11 22Z SUBTOTAL BY STATUS CODES FS FM P M ALIT40RIZED CUSTOMER SIGNATURE DATE ,TIFAE VRC EMPLOYEE SIGNATURE DAT WHITE COPY - VRG RECORDS PICKED Up FROM CUSTOMER ITEM TYPE CODE NB NEW BOX NF NEW FILE D - TO BE DESTROYED RB - REFILE BOX IAF FILE TO BE REFILE0 0 -OTHER TYPE BOX NUMBER BARCODE NUMBER TYPE Box NUMBER BARCODE NUMBIliiR 1 12 �z 2 13 14 17 7 18 19 10 21 SUBTOTAL BY ITEMS REQUESTED NB RB Rr- W t) 0 PICKED UP NB jAR RF W I D 14— A�— 1U ]E_T, ;kU"tZED CUSTOMER SIGNATURE DATE t TIME vRc OYEE SIG RE tATt1T9 GOORDIIJATOR YELLOW COPY - CUSTOMER 'PAK