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Home My WebLink AboutPOLICE - 07/08/2014 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 DIVISIONISECTION RECORDS OFFICER BOX NUMBERS. " RECORDS SERIES DAN INCLUSIVE DATES RETENTION PERIOD. 'ut,iE DESTROYED 4 �r - � - pro 3 -I I� L4 o N,q 61— ON - V S I L� 2 —C) 1 + 0t LL)-j01-0__1 5 _j S_01 - 1 yS bI, - ODS-1 sl -b S_ tco -o ( +D 01 -CC 01 _ 0 1 - 071 Ce M k LA V�S �l- ooT�S)� 01 -1 - 60 LM Q - a- 011S0o 01 -0 9 OI- OIISD�, 10- i - 01 -o OI -0► I'D LD p 1 -01 11-6-01 - 1 � I 0t _0130b l { -oj 5 L01-0 -0 0 - -a - rs 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): Wicod Vi In The Records Officer must sign the approval of this request prior to the destruction of the listed records: Records Officer Signature: r D Date: THIS FORM IS MAINTAINED BY THE CITY CLERK'S OFFICE AND CANNOT BE ALTERED IN ANYWAY. u 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 fi —l� Po lic e, Ptco BOX NUMBERS: RECORDS SERIES DAN I INCLUSIVE DATES RETENTION PERIOD.---- ...... uAjE DESTROYED e4k �J fx'Q0014b Vj 1- f� -i 03-001LACt9 40 03- 00A S�D 2_ to -b3 .to os-002 LD I-- 01 ys 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): 0 WL4/-1 The Records Officer must sign the approval of this request prior to the destruction of the listed records: Records Officer Signature: Date: Ol �y THIS FORM IS MAINTAINED BY THE CITY CLERK'S OFFICE AND CANNOT BE ALTERED IN ANYWAY. F ai r FOR USE BY THE CITY OF BREMERTON Public Records Destruction Log - 'N 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..OFF..ICER'.,: . 1pl � f4 +� - � � /iy P�lice�Curcls (ctrl -� � 10u�1�'1 ''..B.OX NUMBERS :. - :.RECORDS:'SERIES.:DAN'':: "`;'::: INCLUSIVE: DATES; 'r . '`•_u 7 .";RETENTION PERIOD E= - :uAiD.ESTROYED , .:: : .. 2000 - I ZOO I I ©�3�2oDO +o - n' L.�7° ( I - 0 7 Izj31) "? rs -� 1-0 I of col Iz ooz rs - 7/ 8 j Iq- Lp�- of —0`7 -7 2002. - 1 00 ib�Z ZQOZ_ 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): Home, 4ar&YI The Records Officer must sign the approval of this request prior to the 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 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 (GS6- 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 03/21/14 N/A 07/08/2014 copies no Appendix A 07/08/14 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: -r 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: Date: 0 Records Officer Signature: �� LEND MOBILE SHREDDING 2910 HOGUM BAY RD NE; LACEY, WA 98516 Office (360)486 -8605 Fax Date: 07/08/2014 AcctNo:952778 -700 Time: 11:37 AM Invoice # 1109320 i Driver: SN92 Truck: 9955 Customer: CO OP POLICE - BREMERTON Address: 1025 BURWELL ST City: BREMERTON, WA 98337 Phone: 360 - 473 -5237 Service: SHREDDING Bins Serviced: 6 Service Qty Rate Total 65 GAL SHRED CART 4.00 2.65 10.60 Total $10.60 THIS IS TO CERTIFY THAT ALL RECORDS AND MATERIALS RECEIVED ABOVE HAVE BEEN DESTROYED BY A CERTIFIED SHREDDING PROCESS. IT IS FURTHER CERTIFIED THAT 1HESE HAVE NOT BEEN EXCESSIVELY HANDLED, TAMPERED WITH NOR READ BY ANYONE. Signature: