HomeMy WebLinkAboutPolice - 12/10/2012 (2) FOR USE BY THE CITY OF BREMERTON
Public Records Destruction Log
Request for In -House Destruction
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 provin sp ecific publ
records_h clearl met a pproved reten p eriods fo r d Please fill out t his form for pu
rec ord s_ dis po sal In -house with a roved retention eri re than 1 ear I 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
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BOX NUMBERS RECORDS SERIES DAN INCLUSIVE DATES RETENTION PERIOD DATE DESTROYED
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RWY la.- o S All public 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 th ed records must sign below prior to the Records Officer signature
approval / I
Employee Signature Date l�oollb /lam
Employee Name (Please print clearly) etliu,6�
The Records Officer must sign the ior the destruction of the listed records
Records Officer Signature Date a /� ✓ �--