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ARCHIVES AND RECORDS MANAGEMENT 7 of 7 Revised 08/2013 An Equal Opportunity Employer RECORDS MANAGEMENT CENTER 1919 West Jefferson Street • Phoenix, Arizona 85009 • Home Page: http://www.azlibrary.gov/records Phone: (602) 926-3815 • FAX: (602) 256-2838 • E-Mail: records@azlibrary.gov Signature: E-Mail: Date: santes@elmirageaz.gov 3.16.2021 Name (type or print): Title: Records Officer or Designee (type or print): Phone : Sharon Antes City Clerk 623-876-2943 1 File First Light Techologies/Solar Light Purchase/Parks GS1018 30678 9.16.14 3.11.2015 Paper 1 File Red Mountain Investigations GS1018 30678 8.25.2014 12.31.2015 Paper 1 File Housing - Lien Release - Gonzales 000.12.57 12 2.6.2010 3.23.2015 Paper 1 File Housing - Lien Release - Hernandez 000.12.57 12 5.28.2010 r.28.2015 Paper 1 File Housing- Lien Release - Olivares 000.12.57 12 5.4.2007 5.4.2014 Paper 1 File Housing - File never recorded - Diaz 000.12.57 12 10.1.2014 10.1.2019 Paper 1 File Housing - Lien elease - Cardiel 000-12-57 12 4.23.2001 12.31.2014 Paper 1 File Housing - Lien Release - Perez 000-12-57 12 8.21.1998 2.6.2015 Paper 1 File Desert Development & Design/Deed of Trust Payoff GS1016 10250 3.13.2000 3.13.2000 Paper 1 File Cactus Park Estates HOA/O15-04-04/City conveys to HOA GS1016 10250 5.5.2015 5.5.2015 Paper # of Files, Boxes, Reels; Electronic File Size Sundial III HOA/Unit 1/WD City to HOA GS1016 10250 3.3.2016 3.3.2016 Paper 1 File Department Administration Office/Unit Record Series Title as Stated on Approved Schedule Schedule Number or Date Item # Records Start Date Records End Date Format: Paper, Digital, Microfilm As authorized under ARS §41-151.19, ...A report of records destruction that includes a list of all records disposed of shall be filed at least annually with the state library on a form prescribed by the state library. Failure to comply with these procedures is a violation of ARS §41-151.19. Public Body City of El Mirage Division City Clerk ARIZONA STATE LIBRARY, ARCHIVES AND PUBLIC RECORDS A DIVISION OF THE ARIZONA SECRETARY OF STATE Joan Clark, State Librarian & Director Page CERTIFICATE OF RECORDS DESTRUCTION ARIZONA STATE LIBRARY, ARCHIVES AND PUBLIC RECORDS A DIVISION OF THE ARIZONA SECRETARY OF STATE Joan Clark, State Librarian & Director ARCHIVES AND RECORDS MANAGEMENT 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Revised 08/2013 An Equal Opportunity Employer If additional pages are needed for reporting, please save and print the form and fill in the corresponding page numbers at the top of the form. At the bottom of the form enter the Agency or Public Body name, date on which the records were destroyed, and the printed and signed name of the individual who actually performed or arranged with a contracted vendor for the destruction of the records. Mail or e-mail the original completed form to the Arizona State Library, Archives, and Public Records, Records Management Center. Fax copies are acceptable only if the received fax is legible. RECORDS MANAGEMENT CENTER 1919 West Jefferson Street • Phoenix, Arizona 85009 • Home Page: http://www.azlibrary.gov/records Phone: (602) 926-3815 • FAX: (602) 256-2838 • E-Mail: records@azlibrary.gov List the Record Series titles associated with the destruction using the exact record series name(s) found on the approved Retention Schedule being following. Enter either the schedule number or approved date for the Retention Schedule you are following to determine eligibility for destruction. Enter the item number from the authorized schedule you are following. Enter the earliest date of records you are requesting to destroy under the Records Start Date column and the latest date for the records you are requesting to destroy under the Records End Date column. Enter the format of the records to be destroyed under the Format: Paper, Digital, Microfilm column. Enter the amount of records being destroyed under the Number of Files, Boxes, Reels or Electronic File Size column. INSTRUCTIONS Use this form ONLY for records that were destroyed and were on a current approved Retention Schedule. In the top section enter the name of your Agency or Public Body, and include any subdivision breakdown for division, department or unit.