HomeMy WebLinkAboutFINANCE 11/17/2017City 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 curre , a prove .:minAu 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)).A' `t '
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:: , gat Disposition=Authority
(taken from'`Records
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Retention Schedule) , _
Y=. Agency Records; .
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`Description
". � Date
- -
Method of '
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Records Ser es Title
Records Series-
Records Retention
='
Nimimum ietention Period : •
(Box/Item numbers;:
Dates Covered;= °';
,Minimum,,
; -
Retention
,
'Destruction (Soo
DAN .
Schedule
y
volume; etc_)
,
examples below*)
..<
Met .
Non -Business` ' '`
IP56426-10 ;
Licensing,=
..,,
3 years after -expiration :A.
Numbered
Expires 01-01-12
1/1/15
Secure Shred Bin
Licenses and
Rev 0 r
6,'h.
C
Permittin and
y h'
a'- f r
Parking Permits
- +X .�':.: e.
PermitsTaxation
t{ ,....5d�
3 ,.'�...-.a?.
ecords
x Y'7"
Forms Accountable '
Gsldio'011`;:'
CORE,3 3
3. fiscal years or.State " _ M
Numbered Blank
2004-2006
1/1/10
Secure Shred Bin
NRev 0
Auditor's Examination
Checks
report, whichever issooner
'Banking Accounts'y'
GS2011 1857,17
tbRE 3 3
6 years after end of,fiscal ."
Cleared Checks
2002-2004
1/1/11
Secure Shred Bin
and Transactions
Rev. O
year fi
& Bank Register
*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:dx�
Printed Name: �i� (y�Lt Division:
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature:I�A�_Printed Name: ::5&nkI0✓L `'� �� Date Approved:
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: Printed Name: (J A (Yi' ` Date Records Destroyed:
Vendor Business Name (if used):
Vendor Signature: Printed Na
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