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Home My WebLink AboutPOLICE - 03/21/2014 Peninsula --.---------..,..C-.E.RT..IFI.CATE OF DESTRUCTION V4'W59 837 ;_'.�'-- L_ I j L,- I Aect. h' Customer Name: Secure Document Shredding Pick-tip Address: A Program of Peninsula Services P.O.Box 5030, Bremerton, WA 98312 Billing Address: Date of Pick-up: �2111. I / I I 14 By si the bottom of this form, we hereby AA the documents received and ........... listed below will be completely destroyed by shredding within 49 hours ALLSHRED Green Acres Paci ic Quantity Container Type Record Description (Optional) Unit Price Amount This is also your invoice. Please pay from: C= This Invoice Statement Total Due: j�K P - Nt rint: Prin t: Sign: Sign: ^ � �� i(,'1 "! 'i'LlStonier's Authori/ed Agent ALL SHRLD's Authorized Agent 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 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 1 year. THE RETENTION PERIOD FOR THIS FORM IS PERMANENT AS STATED IN THE LOCAL GOVERNMENT GENERAL RECORDS RETENTION SCHEDULE (GS5- 09 -06). DATE I DIVISIONISECTION RECORDS OFFICER March 21, 2014 1 Police Lt. Luis D. Olan BOX NUMBERS RECORDS SERIES DAN INCLUSIVE DATES RETENTION PERIOD DATE DESTROYED Secondary L07 -01 -03 11/08/13 N/A 03/21/14 copies no Appendix A 03/21/14 retention value 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 approv I of this request prior t the destruction of the listed records: Records Officer Signature: Date: J?- 1,171 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 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 1 year. THE RETENTION PERIOD FOR THIS FORM IS SIX YEARS (GS 11005). DATE DIVISION /SECTION RECORDS OFFICER. 1- _ _ li ceAcords BOX NUMBERS RECORDS SERIES DAN INCLUSIVE DATES RETENTION PERIOD W-%i E DESTROYED nn �� r1`tm�r-�D( 4o 4-0 Ilc� qo Q= �--O 7J 61 - 0 \0 _ 1� 92 -01066 t (0 2 -°I a- 3 a i %b1 Sao t --to t - t- 2000 + L- Z - w000 1 - -D1- 0-1 _ 2pop a! / 411 9.wgwo wn - D I - 0 2, g� �b�_A'rs _-VoLd g30000W 1 40 1 -1 -93 -- t0 X2 IrS `3 zi ; 5a0 - 72- i �0"1 -Ol 0 1 3 -�-h �i'3c s� g —L4-q3 0 1 5-93 q3l i,4�50 Lo 1 - 01 -0-1 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: Date: a Employee Name (Please print clearly): jo Wi V\ The Records Officer must sign the approval of this requ st prior to the destruction of the listed records: Records Officer Signature: �a✓� Date: 75 a% THIS FORM IS MAINTAINED BY THE CITY CLERK'S OFFICE AND CANNOT BE ALTERED IN ANYWAY. FOR USE BY THE CITY OF 13REMERTON 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 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 1 year. THE RETENTION PERIOD FOR THIS FORM IS SIX YEARS (GS 11005). DATE DIVISION /SECTION RECORDS OFFICER 312! IizI A lic ck c o rdo Moyie_ 'WGnsgn BOX NUMBERS RECORDS SERIES DAN INCLUSIVE DATES RETENTION PERIOD uAi E DESTROYED - a5oo W "1 q mrs 312►1iq oq -laow LO - a-7 1 ()li31qq 121 ,5� 0 � ecxs q- � 3121 114 q - o -7151 a _ 0 1- 6 d LL o I - 0 I o 102 - 1 q 2 -1 92 - 51 q Loy -o - o� 1 2-115h2 - 12 h2 2 3(�1p2 qa.rs 31zi J)H 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: K___ Date: Employee Name (Please print clearly): Md y te t'fQ, The Records Officer must sign the approval of this red st pr' to e destruction of the listed records: Records Officer Signature: :- Date: 3 THIS FORM IS MAINTAINED BY THE CITY CLERK'S OFFICE AND CANNOT BE ALTERED IN ANYWAY.