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PERSONNEL SERVICES DEPARTMENT <br />RECORD RECORD RECORD RECORD <br />CATEGORY SERIES DESCRIPTION DATES <br />OFFICIAL Union Bank Form signed by employee authorizing leave EE Separated August <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 August <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 August 5, 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: <br />?,- & ??= 14-j <br />Susan Wathen for Date <br />Kathie S. Gonzalez <br />Executive Director of Personnel Services <br />RECORDS DESTROYED: <br />Number of Boxes <br />CONSENT BY: <br />Kathie S. Gonzalez Date <br />Executive Director of Personnel Services <br />APPROVED BY: <br />`J <br />Iz ?? a?G/C <br />J eph Fletcher Date <br />City Attorney <br />19C-46