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Home My WebLink AboutPOLICE - 06/06/2014 Le May Mobile CERTIFICATE OF DESTRUCTION 2910 Hogum Bay Rd Olympia Wa 98516 30r,aff 0 0,0 1CC / 7 8 I C I G 1 1,71 1 4 1 , 1 01. 1 1 1 1/01,101 E-Mail: lms@wcnx.org I 21011 Phone: 1-877-898-0112 Name: CO OP POLICE-BREMERTON Fax: 1-360-486-2467 Address: 1025 BURWELL ST City: BREMERTON 98337 Phone: 360-473-5237 Account: 2185-952778-700 Route Id: SD14 Request: MR-SARAH-LT LUIS OLAN Invoice Date: 6/6/2014 Invoice #: 1103899 On the date shown, Designated Confidential Data<a Shredde�kand Destroyed as per Customers Instructions. WEE) 9 AND OAM TODAY AND SHRED 3-95'S ON SITE Notes: 6/6 DELIVER 4 65 GALLON BINS KIT� TODAY AT NO CHARGE / Service Description Qt Rate A 65SC 4.00 65 GAL SHRED CAA� 2.65 Driver Signature: Date: Truck Customer Signature: Date: Time 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 DIVISION /SECTION RECORDS OFFICER June 06, 2014 Police Lt. Luis D. Olan BOX NUMBERS RECORDS SERIES DAN INCLUSIVE DATES RETENTION PERIOD DATE DESTROYED Secondary L07 -01 -03 03/21/14 N/A 06/06/14 copies no Appendix A 06/06/14 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: �� Date: Employee Name (Please print clearly): Lt. Luis D. Olan The Records Officer must sign the approval of this request prior to the destruction of the listed records: Records Officer Signature: "/ Date: ®6 / 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 J- �I -'13 A IIC CA CO rCAS BOX NUMBERS RECORDS SERIES DAN INCLUSIVE DATES R ION RIO " E DESTROYED (43- 0111sf .�u b - I I ^�3 - ice Q 3 LO N- 0 �IZ�I =0 1!104c o io 42M03GV0 01- OI ,-61 3 -JAI -nP rll bt co00o I . -1 I - 20o, `1 q eluolzso LO - c71 -�'1 -23-� 1 YS 4/11, oO o 1 �1 10 - 0 I �l L- 1--40 I -iro Lb-1 O 1 op � 14 L94, L01 -D 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: U_4P_1"1 Employee Name (Please print clearly): X`Y1',t�Ur� The Records Officer must sign the approval of this request pri r to destruction of the listed records: Records Officer Signature: �� -��'� Date: THIS FORM IS MAINTAINED BY THE CITY CLERK'S OFFICE AND CANNOT BE ALTERED IN ANYWAY. 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 - 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 On BOX NUMBERS' RECORDS SERIES DAN INCLUSIVE DATES RETENTION PERIOD E DESTROYED 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: Employee Name (Please print clearly) The Records Officer must sign the approval of this request prior to the destruction of the listed records: Records Officer Signature: O Date: 6 THIS FORM IS MAINTAINED BY THE CITY CLERK'S OFFICE AND CANNOT BE ALTERED IN ANYWAY. 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. ro -June= aoN P0lice, kCvrcAs iti1W& Ume n BOX NUMBERS RECORDS SERIES DAN INCLUSIVE DATES RETENTION PERIOD E DESTROYED 1 5F 1 04 ? - 3 -- *)0 ao Ow)q lb 53 L0_7 -0I - O� - 7 -_7 9 IL Q -5 - 79 a ;- s 9 � 101te 114 i- W q Ind I � o r s as 4 13 - ogsz aQDo�o�loao �� -Q1 -o� q IZ zoao 4-0 -7 s ago- OI 0 10131not) r lf� 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: (V4114 Employee Name (Please print clearly): k'10'VIC kiQ '<y_H The Records Officer must sign the approval o destruction of the listed records: Records Officer Signature: Date: THIS FORM IS MAINTAINED BY THE CITY CLERK'S OFFICE AND CANNOT BE ALTERED IN ANYWAY. FOR USE BY THE CITY OF BR EMERTON 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 DIVISIONISECTION RECORDS OFFICER D5_ inn- t �clic�Cvrs IMGU't� t -lase vl BOX NUMBERS RECORDS SERIES DAN INCLUSIVE DATES RETENTION PERIOD DESTROYED 5 -40CIa 3 - 0- - I9 0 07- OI -0_7 S *11 POyars blb)14 L a v (� - (�7� 1.07- 01- 0� _ _ 9 CoCIFI +IC - e 84' - yy�o -row � -01 - �� -ib -164 a0 Hears � �P�11 L07- 01 -01 a - $ - $1 �0 c. e_a.�s OWN 7 -506 i 0-- x--77 v 4o L07- 0 i - 0 - 7 o - � dO ears U1 k ft Lb - 0 0 11-1) do 3ea-r-S UM14 fbF -Q13 I - 11 11 LOS -01 - o� 5 - i-b ao emirs )- - (�I► 1 -1 1 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. r Signature: Date: t95-1(o Employee g l IIJ�K� Employee Name (Please print clearly): �,1�,Ute flawy—&i The Records Officer must sign the approval of this request prior tot e destruction of the listed records: Records Officer Signature: Date: THIS FORM IS MAINTAINED BY THE CITY CLERK'S OFFICE AND CANNOT BE ALTERED IN ANYWAY.