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PERSONNEL SERVICES DEPARTMENT <br /> RECORD RECORD RECORD RECORD <br /> CATEGORY SERIES DESCRIPTION DATES <br /> <br /> OFFICIAL Union Bank Form signed by employee authorizing leave EE Separated Feb. <br /> PERSONNEL Donation Form hours be donated to the Union Business 2005 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 Feb. <br /> Certificate completed by EE authorizing 2005 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 February 8, 2010, listing personnel files to be purged/digitally <br /> imaged. <br /> * Will be purged <br /> Will be digitally imaged <br /> If non-medical records, will be purged; if medical records, will be digitally imaged. <br /> PREPARED BY: CONSENT BY: <br /> j~ ~ ~ Icy <br /> Susan Wathen for ~ Date Kathie Gonzalez Date <br /> Michael S. Ernandes, Executive Director <br /> Personnel Operations Manager Personnel Services Department <br /> RECORDS DESTROYED: A ~ ROVED B~': <br /> ~ r~ ~ <br /> Number of Boxes ~ Joseph Fletcher ~ Date <br /> City Attorney <br /> 19C-12 <br /> <br />