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HomeMy WebLinkAboutCity Clerk - 04/05/2011 FOR USE BY THE CITY OF B REMERTON Public Records Destruction Log Request for In -House Destruction To comply with RCW 40 14 060, WAC 434 -610 -070, and WAC 434 -040 -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 accountability proving specific public records have clearly met approved retention periods for disposal please fill out this form for public records disposal in -house with an approved retention period greater than 'I year. THE RETENTION PERIOD FOR THIS FORM IS PERMANENT AS STATED IN THE LOCAL GOVERNMENT GENERAL RECORDS RETENTION SCHEDULE (GS5- 09 -06). DATE I DIVISIOMECTION RE=DS OFFICER April 5, 2011 1 City Clerk Carol Etgen BOX NUMBERS ReCOROS SERIES DAN INCLUSIVE DATES RE70MON PERM DATe ©EsTROYED N/A GS50 -05A -17 1998 6 years 4/5/2011 N/A GS50 -01 -53 1997 -1999 2 years 4/5/2011 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 A M D Date Employee Name (Please print cl J "-' rly) Lip The Records Officer must sign the ap roval of this request prior to the destruction of the listed records Records Officer Signature Date VUIC CAOUI 90 UTAIAFTAIAICII OV TUC # UMW 6�1 COu-a 11CCIf�C AUR /- AAI\IAT OC Al TCOCII 1 \I AAFVIAIAV