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PERSON NEL SERVICES DEPARTMEN T <br />RECORD RECORD RECORD RECORD <br />CATEGORY SERIES DESCRIPTION DATES <br />OFFICIAL Union Bank Form signed by employee authorizing leave EE Separated Apr <br />PERSONNEL Donation Form hours be donated to the Union Business 2003 and prior <br />FILES Leave Bank to be used by union leaders for <br /> Union Business.* <br /> W-4 form Employee's Withholding Allowance EE Separated Apr <br /> Certificate completed by EE authorizing 2003 and prior <br /> employer to withhold Federal income tax <br /> from employee's pay and/or for indicating <br /> exemption.** <br />Please see attached spreadsheet, dated May 1, 2008, listing personnel files to be purged/digitally <br />imaged. <br />* Will be purged <br />** Will be digitally imaged <br />*** If non-medical records, <br />PREPARED BY: <br />will be purged; if medical records, will be digitally imaged. <br />a 37 <br />Susan athen for D to <br />Michael S. Ernandes, <br />Personnel Operations Manager <br />RECORDS DESTROYED: <br />Number of Boxes <br />CONSENT BY: <br />~$' <br />Enr' e J va ate <br />E utive irector <br />Personnel Services Department <br />APPROVED BY: <br />~ ~ o F cG~1 S ls"ly~' <br />Joseph Fletcher ) Date <br />City Attorney (/ <br />19C-5 <br />