HomeMy WebLinkAboutCITY CLERK - 04/14/2016 (2) City of Bremerton Pubiic 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 Re[eniion Schedule(COREJ).
Legal Disposition Authority(taken from Records Retentlon Schedule) Agency Retords
Records SeNes Records Retention Desutptton Min mum Method of
Records Series Title DAN Schedule Minimum Retention Pertod (Box/Item numbers, Dates Covered Retention �structlon(See
volume,etc.) M� examples below•)
Contracts/ GS50-01-11 CORE 3.1 6 Years after Contracts/Leases 1/1/2003-12/31/2007 1/1/14 Shred Truck
Agreements Rev.3 expiration/completion
Financial GS2011-184 CORE 3.1 6 Years after end of fiscal Meter Slips 2008 1/1/15 Shred Truck
Transactions— Rev.2 year
General
Financial GS2011-184 CORE 3.1 6 Years after end of fiscal Daily Deposit 2008 1/1/15 Shred Truck
Transactions— Rev.2 year Siips
General
Financfal G52011-184 CORE 3.1 6 Years after end of fiscai Meter Slips 2009 1/1/16 Shred Truck
Transactions— Rev.2 year � � � �
General
Financial G52011-184 CORE 3.1 6 Years after end of fiscal Daily Deposit 2009 1/1/16 Shred Truck
Transactions— Rev.2 year Slips
General . � -
Code Enforcement GS2012-026 CORE 3.1 6 years after matter resolved Diamond City 1/1/2009-12/31/2009 1/1/16 Shred Truck
Rev.0 Reports
Non-Business LP50-12D-10 Licensing, 3 years after expiration of Residential Jan 2008-Dec 2008 1/1/13 Shred Truck
Licenses and Rev.0 Permitting and permit Parking Permits
Permits Taxation
Financial GS2011-184 CORE 3.1 6 Years after end of fiscal LEOFF 1 Medical Jan 2008-Dec 2008 1/1/15 Shred Truck
Transactions— Rev. 2 year Payments
General .
Contracts/ G550-01-11 CORE 3.1 6 Years after Contracts/Leases 2/1/82-12/31/07 1/1/14 Shred Truck
Agreements Rev.3 expiration/completion �� -
Financial G52011-184 CORE 3.1 6 Years after end of fiscal Meter Slips 2008 1/1/15 Shred Truck
Transactions— Rev.2� year '
General
. . , "Examples of ineihods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describeJ .
Form Revised 05/06/2014 _ _
City of Bremerton Public Records Destruction log
Statement: The public records listed above have met their minimum retention period(sJ, are not subject to ongoing or reasonobly aniicipated litigation or
public records requests,are not needed for audit or other agency business,and shall be destroyed.
The individual responsible or inventorying the listed records must sign below prior to the Record's Manager approval:
` �'A � G I
Employee Signature: � Printed Name: ��`�YLVIC�I/t �e��t h Division: �� �`�✓� ���hl e�
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
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Records Manager Signature: \ � � Printed Name: \ �nU� C G�rl�✓� Date Approved: � /�' /�
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 reiention and disposition action for this Public Records Destruction log is"Retain for Lhe life of the agency"pursuant to CORE series G550-09-06.
Form Revised 05/O6/2014
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(COREJ).
�. Legal Disposition Authority(taken from Records Retentlon Schedule) ' Agency Retords �-
Descriptlon Date jy�ethod of
Records Sertes Records Retention Minimum
Records Serles Tltle Mlnimum Retention Pe►lod (Box/Item numbers, Dates Covered Destruction(See
DAN Schedule ' - RMention
volume,etc.) ' Met examples below•)
Code Enforcement GS2012-026 CORE 3.1 6 years after matter resolved Diamond City 2008 I/1/25 Shred Truck
Rev.0 Reports
Non-Business LP50-12D-10 Licensing, 3 years after expiration of Residentiai 2010 Z/1/14 Shred Truck
Licenses and Rev.0 Permitting and permit Parking Permits
Permits Taxation
Contracts/ G550-01-11 CORE 3.1 6 Years after Contracts/ Jan 2009-Dec 2009 1/1/16 Shred Truck
Agreements Rev.3 expiration/completion Agreements
- 2 Boxes
•Examples of inethods of destruction:e/ectronic de/etion,in-house OR outside contractor shredding,secure recycling,other(describe)
Stotement: The public records listed above have met their minimum retention period(s), are not subject to ongofng or reasonab/y anticipated litigation or
public records requests, are not needed for oudit 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:
<..�YI Vt fM �-��'1' �i'� (���'�'� /��?G C
Employee Signature:� Printed Name: fil Dlvision:
The Records Manager must sign the proval of this request prior to the destruction of the listed records:
Records Manager Signature: � Printed Plame��-�'`�l�l/L OVl (.._�f I lil Date Approved: �'��` l V
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: Printed Name: Date Records Destroyed:
I Vendor Business Name(if used): ��i �G�� � Phone:
Vendor Signature: Printed Name: Date Records Destroyed:
The retention and disposition action for this Public Records Destrudion Log is Retain for the lrfe of the agency'pursuant to CORE series GS50-09-06.
Form Revised OS/06/2014