HomeMy WebLinkAboutPOLICE - 03/17/2015 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
Records Series Records Retention Description Minimum Method of
Records Series Title DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See
volume,etc.) Met examples below*)
2/25/15 to 07-000001 to 1/1/2007 to Outside
3/13/15 LE2010-064 7 Years 07-009699 9/4/2007 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: D&XV6" Division:
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: i Lam' Printed Name: w! �C �~ Date Approved: 3,171
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
/ , 7
Employee Signature: Printed Name: ��` '� ✓� � �' Date Records Destroyed:
Vendor Business Name(if used): Phone:
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 G550-09-06.
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 Records Retention Dates Covered Minimum Destruction(See
DAN Schedule
Records Series Title Minimum Retention Period (Box/Item numbers, Retention
volume,etc.) Met examples below')
02/25/15 to LE2010-064 7 Years 06-000001 to 01/01/2006 to 12/07/2006 Outside
03/17/15 06-012969 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: ' ILL J Printed Name: Marie Hansen Division: Records
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
-" st
Records Manager Signatur _/� rioted Name: Luis Olan Date Approved:
✓// ;Z,
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: Printed Name: Date Records Destroyed:
Vendor Business Name(if used): Phone:
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
to May Mobile CERTIFICATE OF DESTRUCTION
.G
2910 Hogum Bay Rd
���///���f' l rr ea d I RD C� Olympia Wa 98516 J o�
E-Mail: lms@wcnx.org
Name: COOP POLICE-BREMERTON Phone: 1-877-898-0112
Address: 1025 BURWELL ST Fax: 1-360-486-2467
City: BREMERTON , 98337 ,
Phone: 360-473-5237 Account#: 2185-952778-700 Route Id: SN92
Request: MS-LT OLAN Invoice Date: 3/17/2015 Invoice#: 1150420
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
Notes: 3/16/15 - SERVICE 5-65GL BINS TODAY, CALL 360-473-5221 BEFORE SERVICE SO HE CAN
ASSIST YOU.
Service Description
Qty Rate Amount
65SC 5.00 65 GAL SHRED CART
2.77
Driver Signature: 1-�164 Date: 7 Truck
Time
Customer Signature: Date:
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