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Home My WebLink AboutPOLICE - 08/19/2014 City of Bremerton Public Records Destruction Log The purpose of this form is to document compliance and reasonable accountability by verifying that specific public records have met current, approved minimum retentio periods before being destroyed pursuant to RCW 40.14.070, WAC 434-610.070, and WAC 434.640.010, -020, and -030. Please fill out this form when destroying public recorc whose minimum retention is other than "Retain until no longer needed for agency business then destroy" (such as records covered in the "Records with Minimal Retentio Value"section of the Local Government Records Retention Schedule(CORE)). Legal Disposition Authority(taken from Records Retention Schedule) Agency Records Description Date Method of Records Series Records Retention Minimum Records Series Title DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See volume,etc.) Met examples below*)' Secondary Copies L07--01-03 N/A N/A N/A 07/08/14 to 08/19/14 2014 Le May Certified No retention value Appendix A Shredding Company *Examples of methods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describe) Statement: The public records listed above have met their minimum retention period(s), are not subject to ongoing or reasonably anticipated litigation c public records requests, are not needed for audit or other agency business, and shall be destroyed. The individual responsible for inventorying the listed records must sign below prior to the Record's Manager approval: Jc .��3 Division: Si �c.P�l t kJ•1rc��-�. Employee Signatur Printed Name: The Records Manager must sign the approval of this request prior to the destruction of the listed records: G/ Records Manager Signature: Printed Name: �u� �/_� Date Approved: The person/people responsible for the destruction of records must sign upon destruction of the listed record,s:� Employee Signature. iXtinted Name: ��~� Date Records Destroyed: FZZ/ � Vendor Business Name(if used): Phone: 77— 0�i/q L(5 112- Vendor Signature: Printed Name: Date Records Destroyed: The retention and disposition action for this Public Records Destruction Log is"Retain for the life of the agency"pursuant to CORE series GS50-09-06. Form Revised 05/06/2014 City of Bremerton Public Records Destruction Log The purpose of this form is to document compliance and reasonable accountability by verifying that specific public records have met current, approved minimum retention periods before being destroyed pursuant to RCW 40.14.070, WAC 434-610.070, and WAC 434.640.010, -020, and -030. Please fill out this form when destroying public records whose minimum retention is other than "Retain until no longer needed for agency business then destroy" (such as records covered in the "Records with Minimal Retention Value"section of the Local Government Records Retention Schedule(CORE)). Legal Disposition Authority(taken from Records Retention Schedule) Agency Records Date Method of Description Minimum Records series Records Retention Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See Records Series Title DAN Schedule Retention examples below*) volume,etc.) Met 000001 01101�Coq. tot t un-0.1-b-7 0400 . O 2-1 051 Zoog SY66 CD, *Examples of methods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describe) Statement: The public records listed above have met their minimum retention period(s), are not subject to ongoing or reasonably anticipated litigation or public records requests,are not needed for audit or other agency business, and shall be destroyed. The individual responsible for inventorying the listed records must sign below prior to the Record's Manager approval: ee Signature: Printed Name: Division: PuzndS Employee The Records Manager must sign the approval of this request prior to the destruction of the listed records: � X Records Manager Signatur Printed Name: `l�1/� ID, � Date Approved: 61�9f ?�`y The person/people responsible for the destruction of records must sign upon destruction of the listed records: Employee Signature: L i� Printed Name: Date Records Destroyed: � Phone: Vendor Business Name(if used): `C /4 Vendor Signature: Printed Name: Date Records Destroyed: The retention and disposition action for this Public Records Destruction Log is"Retain for the life of the agency"pursuant to CORE series GS50-09-06. Form Revised 05/06/2014 City of Bremerton Public Records Destruction Log The purpose of this form is to document compliance and reasonable accountability by verifying that specific public records have met current, approved minimum retention periods before being destroyed pursuant to RCW 40.14.070, WAC 434-610.070, and WAC 434.640.010, -020, and -030. Please fill out this form when destroying public records whose minimum retention is other than "Retain until no longer needed for agency business then destroy" (such as records covered in the "Records with Minimal Retention Value"section of the Local Government Records Retention Schedule(CORE)). Legal Disposition Authority(taken from Records Retention Schedule) Agency Records Description Date Method of Records Series Title Records Series Records Retention Minimum Retention Period Bo Item numbers, Minimum DAN Schedule ( � Dates Covered Retention Destruction(See volume,etc.) Met examples below*) 7/9/14 to 03-002200 to Outside 7/14/14 L07-01-07 7 Years 03-004199 3-1-2003 to 4-28-2003 Contractor Shredding 7/21/14 to 03-004200 to Outside 8/6/14 L07-01-07 7 Years 03-009699 4-28-2003 to 10-10-2003 Contractor Shredding 03-009700 to Outside 8/14/14 L07-01-07 7 Years 03-010499 10-10-2003 to 10-31-2003 Contractor Shredding *Examples of methods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describe) Statement: The public records listed above have met their minimum retention period(s), are not subject to ongoing or reasonably anticipated litigation or public records requests, are not needed for audit or other agency business, and shall be destroyed. The individual responsible for inventorying the listed records must sign below prior to the Record's Manager approval: Employee Signature:, Printed Name: !J 60-a W UV-,,, Division: ?CA � lzp_Co-��S The Records Manager must sign the approval of this rreegquuueeast prior to the destruction of the listed /records: 1,, Records Manager Signature: ✓ rinted Name: �C✓- �C�'/� D^'��'� Date Approved: The person/people responsible for the destruction of records must sign upon destruction of the listed records: Employee Signature:` �Or inted Name:—" � D� Date Records Destroyed: � f L Vendor Business Name(if used): 1e- ��/may //��Oji/c— Phone: T77— 0 / y — t=,t L-,'I--- Vendor Signature: Printed Name: Date Records Destroyed: D L l/ lllw The retention and disposition action for this Public Records Destruction Log is"Retain for the life of the agency"pursuant to CORE series GS50-09-06. Form Revised 05/06/2014 Le May Mobile CERTIFICATE OF DESTRUCTION y/ i Y Y Y oa FOR lNFp z 2910 Hogum Bay Rd nj 111A Olympia Wa 98516.�;;/o j ii///// i// �o�%f i/// E-Mail: Ims@wcnx.org o Phone: 1-877-898-0112 Name: CO OP POLICE-BREMERTON Fax: 1-360-486-2467 Address: 1025 BURWELLST City: BREMERTON , 98337 ' Phone: 360-473-5237 Account : 2185-952778-700 Route Id: SN92 Request: LT. OLAND-SARAH Invoice Date: 8/19/2014 Invoice#: 1116242 On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions. Notes: 8/19 EMPTY ALL BIN Service Description to Qty Rate Amount 65SC 4.00 65 GAL SHRED CART — 2.65 r Date: ^f�`� Truck Driver Signature: Customer Signature: Date: Time