HomeMy WebLinkAboutPARKS & RECREATION 12/17/2018City 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
Records Series Title
Records Series
DAN
Records Retention
Schedule
Minimum Retention Period
Description
(Box/Item numbers,
Dates Covered
Date
Minimum
Retention
Method of
Destruction (See
volume, etc)
Met
examples below*)
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*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 Signatupft ,A V "' - U— -Printed Name: Division:
The Records Manager must sign thoyaL2.f this request prior to the destruction of the listed records:
Records Manager Signature: v<- Printed Name: `J ER-- Date Approved: t 1 6 ! U
The person/people responsible
�for
Athe destruction of records must sign upon destruction of
the listed
l records:
Employee Signature: _ ('" \ , l A/ 1 1 ��W� ed Name: W 1'�1 \ V� L�'- W " i -,L Date Records Destroyed: 12 IQ I IS
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
Records Series Title
Records Series
DAN
Records Retention
Schedule
Minimum Retention Period
Description
(Box/Item numbers,
Dates Covered
Date
Minimum
Retention
Method of
Destruction (See
volume, etc)
Met
examples below*)
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*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 Signatur ..u_ nn, 9--u ) wv - Printed Name: �`t, V -�— `"'t_Ue- Division: Fap_` -S 5 RQLP - O—
The Records Manager must sign e approval of this request prior to the destruction of the listed records:
r
Records Manager Signature: �_t Printed Name: G Y G Date Approved: 12 ),/
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee SignatureffWV 1 tVJ U`1`inted Name: A✓-� `'U l.x UJ`LkA� Date Records Destroyed: )Z! / ' �J
Vendor Business Name (if used):
Vendor Signatu
Printed Name:
Phone:
Date Records D
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
Records Series Title
Records Series
DAN
Records Retention
Schedule
Minimum Retention Period
Description
(Box/Item numbers,
Dates Covered
Date
Minimum
Retention
Method of
Destruction (See
volume, etc)
examples below*)
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*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:
p ��
C,_k VW`Q- VJW-fie,
Employee Signature: Printed Name: Division:
The Records Manager must sign t appro a -Qf this request prior to the destruction of the listed records:"
Records Manager Signature: ---b► Printed Name: x#1 1% R,& -y T� t; Date Approved:
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signatur : G 1/V Wklo- Printed Name: W Icu Y VY lX W L u4—z Date Records Destroyed: I Z J 1-7 J1 S
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