Certificate of Record Destruction

ARCHIVES AND RECORDS MANAGEMENT
1
of
1
Revised 08/2013
An Equal Opportunity Employer
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
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
# of Files, Boxes, 
Reels; Electronic 
File Size
Accident Records- Adults, Personal Injury
GS 1024
10359
8/1/2014
6/1/2016
Paper
2 bx
Department
Fire Department
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
.50 box
National Fire Incident Reports (NFIRS exports to FEMA)
GS 1024
10378
6/1/2015
6/3/2019
digital
1 MB
Accident Records- Involving Minor(s) With/Without Injury
GS 1024
10360
1/1/1997
11/1/2018
Paper
.25 bix
Program Records (CPR 1st/aid, Car seat safety checklists)
GS 1024
10383
6/1/2019
6/1/2022
Name (type or print):
Title: Records Officer or Designee (type or print):
Phone :
Michael Long, Fire Chief
Charlotte Confer, Records Officer Fire Dept
623-251-3501
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:
cconfer@elmirageaz.gov