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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 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 August <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 August 30, 2011, 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 />7 <br />1 -: <br />1 <br />Rosa Flores for Date <br />Kathie S. Gonzalez <br />Executive Director of Personnel Services <br />RECORDS DESTROYED: <br />Number of Boxes <br />CONSENT BY: <br />I' ` t <br />Kathie S. Gonzalez Date <br />Executive Director of Personnel Services <br />D BY: <br />Josgoh Straka <br />Interim City Attorney <br />C? ///,/z 0 <br />Date <br />19C-8