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PERSONNEL SERVICES DEPARTMENT <br />RECORD RECORD RECORD RECORD <br />CATEGORY SERIES DESCRIPTION DATES <br />OFFICIAL Tuition Copies of applications for training and EE Separated <br />PERSONNEL Reimbursement educational assistance which show EE December 2003 and <br />FILES Request request, department head approval, and final prior <br /> disposition of request.* <br /> Union Bank Form signed by employee authorizing leave EE Separated <br /> Donation Form hours be donated to the Union Business December 2003 and <br /> Leave Bank to be used by union leaders for prior <br /> Union Business.* <br /> W-4 form Employee's Withholding Allowance EE Separated <br /> Certificate completed by EE authorizing December 2003 and <br /> employer to withhold Federal income tax prior <br /> from employee's pay and/or for indicating <br /> exemption.** <br />Please see attached spreadsheet, dated January 8, 2009, listing personnel files to be purged and/or <br />digitally 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 />~ C ~ ~r I-~-~.9 <br />Susan Wathen for Date <br />Michael S. Ernandes, <br />Personnel Operations Manager <br />RECORDS DESTROYED: <br />Number of Boxes <br />CONSENT BY: <br />~. ~ ~/~ <br />Enriq Iv D e <br />Exec e ~ ctor <br />Personnel Services Department <br />APPROVED BY: <br />Joseph Fletcher - Date <br />City Attorney <br />19C-9 <br />