HomeMy WebLinkAboutPolice - 11/30/2010 (2) ..
P FOR USE BY THE CITY OF BREMERTON
Public Records Destruction Log
Request for In -House Dest ruction
To comply with RCW 40 14 060, WAC 434 -610 -070, and WAC 434 -640 -010, 020, and 030, It Is vital
that public records be destroyed according to their approved retention periods Therefore, the
purpose of this form Is to verify compliance and reasonable accou ntabilit y provin s pecific public
r ecords hav cl early met a pproved retention periods for disposal Please fill out this f orm fo pub Icl
records di In -house with an a pprov ed retention period g reater than 1 y ear THE RETENTION
PERIOD FOR THIS FORM IS PERMANENT AS STATED IN THE LOCAL GOVERNMENT
GENERAL RECORDS RETENTION SCHEDULE (GS5-09 -06).
DATE I DIVISIOWSECTION RECORDS OFFICER
November 30, 2010 1 Police Lt. Luis D. Olan
BOX NUMBERS RECORDS SERIES DAN INCLUSIVE DATES RETENTION PERIOD DATE DESTROYED
5 - 90 gallon L07 -01 -03 07 -29 -10 11 -30 -10
Appendix A 11 -30 -10
All public records listed have been Identified to be at the end of their designated retention period,
have no need to be retained for audits, lawsuits, public records request or program requirements and
shall be destroyed
The Individual who Is responsible for destroying the listed records must sign below prior to the Records Officer signature
approval
Employee Signature ate
Employee Name (Please print clearly) Lt Luis D Olan
The Records Officer must sign the approval O this st p he destruction of the listed records
Records Officer Signature ate
w'
CITY OF BREMERTON
GENERAL CLAIM
DATE 12/7/2010 CB CHECK#
VENDOR FUND /DEPARTMENT
Remittance Address 001 -20 POLICE -Administration
LeMay Mobile Shredding LeMay Mobile Shredding
2910 Ho um Bay Road NE P O Box 11630
Lacey, WA 98516 -3133 Tacoma, WA 98411 -6630
DESCRIPTION TOTAL
Shredding Service $19450
Note to Finance
LeMay Mobile Shredding does not charge tax
0
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VENDOR # 21825
BASUB ' ELE OBJ PROJECT INVOICE # INVOICE DATE AMOUNT
521 1020 -54810 219780 11/30/10 $19450
CERTIFICATION
I, the undersigned, do hereby certify under penalty of penury, that the materials have been furnished, the services rendered
or the labor performed as described herein, that any advance payment Is due and payable pursuant to a contract or Is
available as a ptlon for full or artlal fulfillment of a contractual obligation, and that the claim Is a dust, due and unpaid
obllgatlo ga st the city a d t I am authorized to authenticate and certify to said claim
X ORDER RECEIVED BY
CLAIM APP OVA A I IN OFFICERIDEPT HEAD)
2910 Hogum Bay Rd rone 1- 877 - 898 -0112
lema 41 mOV'1e, Olympia, Wa 98516 1- 360 - 486 -2467
E -Mail lms @lemaymc corn
fif 06 A f ��, CERTIFICATE OF DESTRUCTION
�! r,, 0 f
• Invoice # 219780
*OR
� Date of Invoice 1 1- 30 -201 0
Customer: 5 7r 933 Bill To:
CITY OF BREMERTON—POLICE D 'T ■� ��
10 BURWELL ST �""�p� `' CITY OF BREMERTON— POLICE DEPT
BREMERTON, WA 98337 1025 BURWELL ST '
PHONE a 360-- 473 -5233 Ca360 -340 -1796 BREMERTON, WA 98337
On the date shown, Designated Confidential Data was Shredd nd as per Customer's Instructions
Date of Destruction Drivers Initials Truck No
Time In T1e-()- Total Time 9961
Notes
PURGE 15- -32GAL BINS *8 -5 *CALL*
Container Description Amount
I F
0
r+ "
Requested by Total ount
C
Printed Name GREG RAWL I NS Authorized Signature
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