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PERSONNEL 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 March <br />PERSONNEL Donation Form hours be donated to the Union Business 2006 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 March <br /> Certificate completed by EE authorizing 2006 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 28, 2011, listing personnel files to be <br />purged/digitally 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 />? Al?__ 51-1(11 <br />Susan Wathen for Date <br />Kathie S. Gonzalez <br />Executive Director of Personnel Services <br />CONSENT BY: <br />J, <br />Kathie S. Gonzalez Date <br />Executive Director of Personnel Services <br />RECORDS DESTROYED: <br />Number of Boxes <br />APPROVED Y: <br />C <br />Jo eph Straka Date <br />Interim City Attorney <br />19C-6