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HomeMy WebLinkAboutPARKS & RECREATION 9/22/2020 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 Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See DAN Schedule Retention volume,etc) Met examples below*) ier2.ccQ,o.4lon. ?KS()-kC,- eOJ C , -e.c, Lo Lleav3 aFt1�.►- -pe, cw+ outSl&-Q, caaSs ct{4ekndQy1CQ- 1ci .0 wt-r cIGSScornpLQ-ri ow r tIn:/ l•;O Journ- 2002-10l O U l/ i1 corn}vr.0 -Ot2 RSD S vers ton i.o 41A.Q.vtdc¢d-4V0 RLbIS-WC1-ho/`' fo rms. ro SGt.IPQC�dII.1J financ44,1 CAS 014- 0,1 ,E. lu ea oz-klve, e-� e - lc�.R, .�( nsa.ctlonS- kit.- p Qot o-R "PIS CCU n Cc�,1 1;oc--{s ' 012 20 - 13 l/ 1/2 o 0 cn-�vactor. cpruup-c,4 •3 ve, l o•, r,,,4, i I�A..n destroy copies of c�Q.U<s s I/t QC{ct( +rLEc cuumksc7S-'O lO- C-O. 4Q ,E. Ye-ka,k 4 0 A. 3 C`,d.1.7* "� - O e, 4 Irt rut, rvockw.yyN+1\A 05b4 •Z V ibn y,O �Act-k2 AYLL OQ -W k �e -k`^'r�.�c,� 2' ( / 4�I`� c `2 t l r�it- n 50 is v p *Examples of methods of destruction:electronic deletion,in-hous�0 tside 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 there Record's/� Manager approval: p ( ^' Employee Signature: U. .. �f'rinted Name: GO�`k i L' 1, - a` Division: 1 ' ' � ���C 0--* (c,(A...., The Records Manager must sign the pproval of this request prior to the destruction of the listed��records: ,�� ix, / -��''\\ Records Manager Signature: Printed Name: Date Approved: ( (7/�LJ The person/people responsible for the destruction �ofQrecords must sign upon destructionst off theh listed �records: � Employee Signatur , ` 1 �/`' Printed Name: C. . t N V. w�` `�' Date Records Destroyed: Z2) ' )2-o Vendor Business Name(if used): ay)0_9 r OAo 1 lia S Vi'-Q..d.k I n GJ Phone: ')- �, i 59 C 1 1 L Vendor Signature: �-?� 0.`�w`CY �-x.4. Printed Nam`e.: Date Records Destroyed: cE? - 4 cu-U d.QS'WvUCkl or\-, 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 (Box/Item numbers, Dates Covered Minimum Destruction(See DAN Schedule volume,etc) RetentioneY examples below*) /ou'zQ O..-}i o w P YZ50- 1 M.- POfi Cs, ►2.e c is Le.curs- a F-t.e.,K cAct iv(-ty outs to p --/ c,l c t CS a kleAnc(a,n ce. (q cv tfu V.Q. (-lass corn p ln.+i o i-%., Rt.PJ2- 2010 -20 1 (I(/t'S3 c orr}Vac+-o►2. RQ.co rdS •D v esa i on t-o -a lA el1244 Yoy -fun to u+ . S(it)(2e d c{I eacgrafa}tow PRSo-t3C- Pcue.KS,pec U void'-s a - o,i2 oetkviAy o--tsidQ ,1/ UaSs 0.kiertdancs2. 19 wI-t L.Ie e... c,'o SS (-orY)p Lek t o r\-, fl-oS. 1z- 20 Oi 1/1/ \\ cjn-4-rac*on- iQeS.Jo►e d S _ Rui•0 vevs t v n t.o -1 d *vo t i -fwt. R u►'t slr we d d(►-ig ra-)c t ow et2So-t3c- fayu s,►e.ec U eO k o3--- (2-- ac-4i Vl-t•y oxrtstc-Le. J c ckSE o -telndoncz. t q XzR 0.)1*- . Gags c,orya?t e,-tto,.%, ru3��,e rS 2.s0 O ) I! 1/mod crop-t-rac-k-ocz_ &C:ordS -0 veld t o vt.t.0 -j V e t->, dszS-t t O vOs 1 uuS c lQSg.2S sVt,t2e.d d t►-)j *Examples of methods of destruction:electronic deletion,in- ouse 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 tontheee1Record's Manager approval: �C Z. Employee Signature:e /�/IJIM�Printed Name: 1 w��� Division: P `rD R `-(2-a'`l-(o, -- The Records Manager must sign the pproval of this request prior to the destruction of the listed records:'s ,� / Records Manager Signature: ebiL---- Printed Name: J_" ' EZJeVH 0 Date Approved: 111-7 l2.& The person/people responsible for the destruction of recoordssmmust sign upon destruction of the listed records: Employee Signature: eC+��T 1..LA-i1/4-"-- 5rinted Name: C-���\1 "\-9-,LA)ULA Date Records Destroyed: 9)22 /20ao Vendor Business Name(if used): lit (Yl ay 1 0\.1 e- S 'k-C ck.1 n� Phone: 1 11 - 8(18 a H 2_ siae Vendor Signature: �C "`�� Printed Name:\ —� - ~� Date RZttir.#�6-9esay�cl"� Cbr 1- iCCxk OC � VC*10(\.. 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 Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See DAN Schedule Re volume,etc) Me ion examples below*) FtnOX CAo,( VS10`1 - C.0.1Q.E. s c'S°ate pic1d.�lcotll o�-t'Stdi., ,./ -n-ansae-t tons -tay of fiscal caved 1Zi 3112- ?130/(3 tl 1/2A con-Wae1og- c, R,XZQ.1 I2A.0.3 vest on M A -1 Vl:e,+') c1.RS-i.rot ae.c)lsrk.-e tie. 5khzeicictInC, / ��na'nc t a,l cis 2.01 k - C D.12.e, to t arn,a ca, Ihdoort ploy oo t'c� �t oJnso.c-ttonS- tSH ow, revs tor. t{0 �' ' PIS CO,' 2 PVnc1A rd t/3 112- 1l 22/ 13 l/1/ s edc�li�tp- �u.1 -)-Vie vt. ole&t d sous f-2 xsrks.'l. 3 In el�s—. CAs2�\1- �,O,R_.�. Ye w ki,n�614 ��coy I998 -- 2002. 3 OU- sic � ‘ Pc-;rmw s �(�ee..ss--c Qd.1-) 10.)coY t/t/v i con-}Ira c1-o - TraPSo.C-4tdnS 0\1 v.0 tof,,4,b �.�t ds�S-{noi ,feRor-A-S 2010 - .-c stk..ae.ec lnj *Examples of methods of destruction:electronic deletion,in ouse 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: EmployeeSignatureP ��OJ\�\/Printed Name: U)'..`v\AA.54- WA.Ak.Q Division: ` OLA1C,5 612-CAQCit0(L The Records Manager must sign the a proval of this request prior to the destruction of the listed records:Records Manager Signature: Printed Name: Jw- Spr lo-0 Date Approved: A/l1 ` 2,42,0 The person/people responsible for t/h�e destruction of records must must sign upon destruction of the listed records:` ' I �7 Employee Signature: 1 I �UtIL;j3'printed Name: wV.\YA�� W"v` Date Records Destroyed: r� (�21 2020 Vendor Business Name(if used): tQ m Oy m Ob 1 5 LZC\C t r9 Phone: 1 811 - 5 ok 5` v l 1 Z ESL a tk ei c1Ae d --�_ Vendor Signature: _ Printed Name: \ Date Records e�Trayed"+- C VAt-F)Ca4,.- 0-/- c12&-twCA10cam, 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 (Box/Item numbers, Dates Covered Minimum Destruction(See DAN Schedule volume,etc) ReeY on examples below*) MN PiR.SD-l3C- 4RKS,gtLc, (.9 Cl s a X?- bo s ootsidLe_ IRQ_CRILOAl0. aSS aAtelndanck, ,9 cu\+vr�e, c.(o c corn \.e.-rl o c OS-k2 t oct.l ZO l Q—2,011/k i a uon-trac+oY2.. vr1,S �V,.0 J vers‘ n O a�� d-�S Yoy co y's`rO c \ S1�Zedc(Anof /RQt,ze,a-rkoti PIRSo-k3C- f R.(S r�e.c, In kit-2.aJS a.,'- .Offi- d,dul+ bbc I I 0U+Sta.A. elcIss aMe ndOSI CSL i q 3 c�,l-�v - c.A aSS WY\9 .e.-}tom RR gi mil ow '2-0 1 ii\/I B actotz RQSA\c,dS vaxi•0 verskon ‘.O AVvon. OLCisAnD,ti -Fauns roytues SVGI2Jacictin iinD41c.ACO :/S?All- G.O_6Q._e . 1p tear3 0.{ce& dw t ca.S '- tou+S(dL tYa lsa.c+tons i$%") 0 repo`-ts - vtd © q 1/l �-tl�ac+7a/—ce.vi.exxk luau.3 `O'^. y.p end of fiSclxA c�ca 2 O 1(a c km to,,\w bk1QQddt *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: lI& UU�'� GO I(QA Y1.�V J— \A.-i-_e� POLAK'S �c iQQ. 1 i 0 r\., Employee Signature: Printed Name: Division: The Records Manager must sign the pprov f this request prior to the destruction of the listed records: J\ Ie �� /!7 Records Manager Signature: Printed Name: " � Date Approved: J �� The person/people responsible for /the destruction o�f records� � must sign upon destruction of theit listed records: Employee Signature:e �1/V' i1 �W�-�` Printed Name: CO \ ' k. le- ) Date Records Destroyed: Ct /2�°') 20 Vendor Business Name(if used): Q-\C-J �C`(\Off'1 1-- - SM1AY—dc h r Phone: k"'6,7 - `J ` °‘\2" Vendor Signature: TTadV ..Q Cr Printed Name: Date Records Destroyed: cevA\ cct, o c wc..*c 0 n., 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 Records Retention Minimum Records Series Title DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See volume,etc) Met examples below*) ,,,,/ CON rcxcic, c S 50-o I - C.O.ye.. E. Co y-ea r-s as-tQ,l2 f ack II ty cxxr►4 o u-t'S 1 ci..e- ogr X&si n-tS j 1 pj,I-i wrY, t-e-t-o+- ok' 511.2,t-ue2. C l . 23 1/1 /Zo'2D con-t-rci c+ 2 o cLnu..lQo..1 "�•9 +ra n sacitnns ► -tc-i requea-tS skteedcitr)c ,ethancnco . 1sJt) - G.p,?__E. ui kecrs a.;}_suic cos t,.-ty'alnSmi-M'al outstdsz �r�Qj ns i�4 Ktw 3 vext.,� ord, se S cal ` • a-0 \3 I/l/23D2-c s°1 Q d / �c reu,a-1►o(v PRSO- PaRtc5, Rea, L 5 o f-ke,►2- k )t ct rani- outs t c�,.e., '� class atteridar cn, t3-- tal wpcv ra- Mass (Dr. t.e-kto� �WvVie3 1I13 I l°laq - 1211 119'M 1/l/tggto Int-r-aetoP, tzQ.LO rd s 12.0.1.). o vet. t.0 +tAx.,►\ 1r0 va l oUS cictS Ie c stkizesid I t-7Q *Examples of methods of destruction:electronic deletion, house OR outside contractor shredding,secure recycling,other(describe) J 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 records7 � must sign below prior to the Record's''M''Manager approval: ���/� �� oo�� ��nn, Employee Signature. �inted Name: ��.` Q, W �Q Division: ,P� K�G�..ZQ.Q f I b,v The Records Manager must sign the pprova .f his request prior to the destruction of the listed records: I Records Manager Signature: Va. I Printed Name: v f ��o Ao0 Date Approved: ct//I-7/ The person/people responsible for the/� destruction/ � of re�corrdss must sign upon destruction of theth �lliisted records n CA Employee Signature: ea r V�( `'— � rinted Name: �0 \1 l/i l� W VC- Date Records Destroyed: 1) 2:24 2Q > Vendor Business Name(if used): lx-m a� ' NO b 1 5\ dd'.Yi C Phone: ‘ ' ri 'c� 0 \ \ Vendor Signature: Q-k\Ck(.V\JQ d Printed Name: Date Records Destroyed: C.QYk\-P CC-- of cS S VUC-t i 0- _. 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 Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See DAN Schedule volume,etc) Re Met examples below*) / rzeC.nea-tier., pR50-13c- pvcs,ger- u) k-ecrS vote-t. 0cKkOca.11 00+sidA- cta s S cc-Vre tclancQ tot v .0 • w t-hxze, c°Sc turn ekk.f t o-,- cu einda.+ncs_4 2.003- 2.0 \\ 1/1/ 1' svurt c1dk� records . _ version (.p .{tns.►„, at s-1-v w()me►_syukks c, y-4v-ac- a IcA0.�SS O,bdancsz gY� O ►3C- pa.�e,1c8� (exec Co v�-Qa' S lR,-Q� b4r�.rs Cadl ut � O 1 t/� 111 oS',d-�- o wtkU- oct,sS p +) 2.Y 2 0 can-t-c c- r€L D dS vicestor, t.0 ,vt ode&t vt,l, 'mg ic-lra-tons 61n figizsicC 1 ¢es..0.2a-k l o w P t25o-1 j C, ituOCS, 'R2G is t l-2.0A-S 0.f*-12..e- Leods -s k Y`' o lYK t 6—Ci CA aSS a-k1endancQ tq O w t�1,,2s, cJl ' cA �e v� .4-(o✓•.- vat h I no 1 oton -20(�! 1/t/0 8 coy-,-�v-acto�. t�.ords vexs ion t-c0 -� ,cn r-(� 1rtN 191cAYot-f O n 6ens 5JULddln9 *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 recordsmustQ sign below prior to the Record's Manager ,approval: n� �p� r n� �r� Employee Signature: p )I�JtJ�-minted Name: �'`�''��' w w` Pa- S t'2�C - e-r- ( ON' `J_ � Division: The Records Manager must sign t appro I .f this request prior to the destruction of the listed records: ll rs �� Records Manager Signature: Or i &COL Printed Name: �`r r C ts.1wV A-0 b Date Approved: I 7I ZJ The person/people responsible for the destruction off'records )must sign upon destruction of the nlisted 1 records: q Employee Signature:t@J ,VY1 �,t,�MJV Printed Name: wR\ v1 Q... ` .j Date Records Destroyed: \J 224 2-010 Vendor Business Name(if used): 1..9-'Y.ra1/4-i m 0\2 t LK. 5Vi1 ...Lek li(^�J Phone: 1_ u✓-1 1- Uc� J - 0\t .. Vendor Signature: 4'[�, (-'(- �d Printed Name: ate Records Destroye : CQX-kt--A Cc\- .Q.S4\A)Ckk0 (1. The retention and disposition action for this Public Records Destruction Log is"Retain for the life of the agency"pursuant to CORE series GS5O-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, Q . 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 Minimum /! Records Series Title DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See volume,etc) Met examples below*) pecizectitor.. t'R 50-13C- Paie.IKS >e¢G (.9 %seou'S af-tc,K. kara-te-do outstcLe, uass 04e nclan a.1 ci 142)0.0 w kFuRQ dials co t. .-I:t ow tvb S. 2_,C01 -- 1012 I/1/t 9 co tit otocz. RQLCAR.ds verSiort 1.0 il R.AA c S-Fie-vy �g)gYYa-t-tonQ sh eddih9 cAr-wads US 5 o-o1- I 1 C.o•Y�..E. (o thous. al-('-Li2 n-,o aF . arts(ca. agreer(wnts- RQA).y ve.rsi or, y,0 comfLti.i °C -S-faradt�r9 i.D1O - 2012 I/I/iq con-t - c+o►2 t'1 f e .Q.�t2 a-I trans ae-t o w lDrnta.-do AA re.ed d l oq /F guAQcx-k-iovx, PR50-13C,- Pa. ics, Rec., u? qeo-t S oStizAZ Se-Nog- o J c °ss a ndaY O Kau J. 0 W\-t C. O S COVvUe tc*1,o 1... , gkt��t ow -oO - 2.00( /t/� c » r flt2 Irecorc verSloh 1.0 \Vtn h d9 Y'Dy fotzn s kza.l tes sk id(vl9 . *Examples of methods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describe) J 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: 00A. �.J`dL- Printed Name: CD - UU-VC.. POJ \ \' zog_e-a*(0 aL��� Division: The Records Manager must sign the ap royal of this request prior to the destruction of the listed records: nA0Records Manager Signature: D Printed Name: \1 WP rit-Vl .00 Date Approved: ` inAO The person/people responsible for the destruction1 of records mustsign upon destruction oftheem listed records:� q Employee Signature:,), 11'L_Q._ LtJJ PTThted Name: WIZk A.�Y L� W`^'1 Date Records Destroyed: `)2'2' 12-02_0 Vendor Business Name(if used): LQ.XY 11� m o;✓t U— A-AU-6 (1�G Phone: , U i ?c ��l ` ® WI— Vendor Signature: C o -d J Printed Name: J ---- Date Records Destroyed: C Yk -' 1 CC: 4. CUS-' ki -40 t' -• 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 Title Records Series Records Retention Minimum Retention Period (Box/Item numbers, Dates Covered Minimum Destruction(See N DAN Schedule Retention volume,etc) Met examples below*) ,�e,.4-e: -k t C;Yld P 1 S 0—BC_ r° S, tQec LP 4karS 041-AQ, se h i 0\42- 0V-ts 1C,. uc ca ekndanCL KA �v o cvtA R- class cov,�iPlettova. gaxsaPS 2.0 D 1/ 1/l1 con-FY-ac,-tote �S-012-C S ve rs 10►11.0 -t1AQ� d -kro y S izaktZQ,.-f 1 ov Pk50- t3C- P0.�2KS,Y2.2C, lD Van aFk t S cti al of m 'c S o d��n� class ak danCs2- is Rwi.° cA.)tturze., ctekss c ovykpt-e-}tov-- e -tvlj-10 2007 1/1 / 1'-fi c.-0- tracton- YQ,UDrdS ve. -Siovt t.b -W‘RdY, c .S-tw -FORSWlrn eve,ni dt t r-9 / 6mpt.o. .e.QS - t s2.0 t'1- c.o.R R.C—. pu,+c,ivy, v�''l-Vt ern p t outSi ftoo-t t t Q.adYY k, 011 sv d scin-e t..P.s 2,003 - 2OOL 1/1/ 11 c.on 4rotci-o ff itUnSOL-tto�ns tJ. 0 veY'sto� 4.v wy `',toa-t t�.,2 shacked d.th5 *Examples of methods of destruction:electronic deletion,ir/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: �� �kr\K ' W�/l.t p )n r rn,,Division: ICS � Q+t r\' The Records Manager must sign the a proval of this request prior to the destruction of the listed records: Records Manager Signature: 6 .,. Printed Name: JeFf M'3/' 7) Date Approved: q/17 12 The person/people responsible for /t�heendestruction{of records ►must sign upon destruction �of the}listed records: Gr Employee Signature:e V+ + v`Vl.)\J al-Printed Name: CUK,�VIAL W lNl Date Records Destroyed: l I`2-' -. I -o 2. Vendor Business Name(if used): ULM a... Yr°\‘-'l U- c.'V l/tt-Q-dck I Y)CJ Phone: 1 - 1-1 Co CI z) C \ \'I— V e n d o r Signature: RI- a acI .Q.d Printed Name: Date Records Destroye ........ .. CQ)(k ,CCU- . v AWc-t10(N, 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 (Box/Item numbers, Dates Covered Minimum Destruction(See DAN Schedule volume,etc) Re1Meon examples below*) t YfmOncia.{ EIS 20tt- C•0.Yz.-G— . toeieour5 of:Mt dout,y casL' .0w-stcr:.st, ttro.Xlsac-41 O().S - t04•3 veXslon �}.0 o-fiScoj �eatz t (�oA gold 12.11 '08- 1243( ) oa 1/1 / I s corA lea c-ttore, vsa iR 4 S Lo 12- C.O.R..G. Fit-:ta l.,fol.y tle r,S CliV1lg7i IC' outs i cC-e ✓ alSpekS AI 045 vP.t�Sro►ti ens - �fiieal fi,e1d vim. �0Z-2CO'' I /I /13 c-oe-A-vac-Foit, (a Ssre-ES) via).0 Li 4 yy2.e Z sc t�rJw4zs sVt teedd t�g cpn-troCfs St -01 -(1 c.o.a,G. ite.-fa.t i'L-Fpte. t.9 ufc.cc s co.w� e.4ic fica exrt.S IcC ✓ ag re�^r`�-n-t-s - r22�V.y of-titik co/om U-}I n r`.oF resew cx or\ 2 CO2-�-CO�j l/l/( S coy rt ro,e-t�o p- genera{ verslori 4-0 wonscu-tio foRn1S tvti¢,h� s k.arer.Edt n 9 *Examples of methods of destruction:electronic deletion,in-housefiR 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 ,,,�/� Ion /� Employee Signature: - Ci ted Name: CAI Vl_✓4-.., wlM-I.JC, Division: r'wKav 3 r`€. a-t-i 0n/ The Records Manager must sign t e approval of this request prior to the destruction of the listed records: Records Manager Signature: `��f;�j� �=f+ Printed Name: DatELwe Approved: ` (7/� The person/people responsible for the de'sstrructigonp oyf records must sign upon rdestruction off the �listed �records: l �^� Employee Signatur f , V��r V V� 1/4/ Printed Name: Wt��v �► �-w {Q- Date Records Destroyed: Z2 ! �2. Vendor Business Name(if used): -Q-Y ay Ql o \ SVw,�sz.d ck`r19 Phone: 1_ 1.--k— ` `) __ coo....2.... Vendor Signature: S a ii-oC.kru.' Printed Name: gate s Destroyed: C F'.rk�-- • Ccrick ,af' a c sor ' c- &l N -Y. 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 (Box/Item numbers, Dates Covered Minimum Destruction(See DAN Schedule volume,etc) Re1Me}on examples below*) 7 v'�•� G-S 20t2- CO-P.—S. Rat.-k-CU'.► -Pole. L yre� sock kl/look? l.(U oVksIcLL' V dfsp-2Vcoul o4S .0 vex(on `i-0 o. Ack nck o-E +Dornarnenor 2,000 "2001-� l/lJo0\ con-traC-toR, � cossets -F;,sca1 e Aa_ servc�fiior~- slrl zeddU inr� CJorl'trGk ( S o-o( -tI G.0.1(Z.G.4 µQ tCaki lu 1iG0.rS KILS l GQI ov-k cLQ, .1 c v eint5 o. Rcor \e,-tcar.. RR4144i( I9ci5- 200 1(1/zoko ►-A C 00- o�OLl 'y veiYS y.o of- -WQ'MOL-ton �t-x KR s'Vuzedd t iii Us CIS 2012- c/d.1Q..e. �„kox.lr.. -fpV�.t-1 l.�-C' SOcktaall O TES 1 , cL.ls ci.,l 045 i -o cif-'-- ,ek,� o-q' e 'C ( -tD°'""'• 2SJ0 L, - 2G l 1 I/I( I to conk ro..--o,R- col K1 vPX�,rin��.o -fiscc�l .vo---t`or,00 cIMQecJa,ln *Examples of methods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describe) j 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: I C� CoI�-( ( - Pa,�.C'cs ReC--.€O..f 1 o�Employee Signature: Printed Name: Division: The Records Manager must sign t approval of this request prior to the destruction of the` listed records: 9 Records Manager Signature: �` ) Printed Name: "e ev a0 Date Approved: Ill The person/people responsiblesi� for the destruction of records must sign upon destruction9f of the listed records: (y (� Employee Signature:e,uV' vY UC..W /Printed Name: f�., �� l.A3LA.�' L.Q Date Records Destroyed: l I 2L2 il ZGv° Vendor Business Name(if used): \. --M(y \Y)C)\49 1 S V' -'ck cl.l Phone: 1 " :?.)-1-1 v `2 Vendor Signature: dam-9- a*k0C i 8 Printed Name: Date Records Destroyed: QXAC'\ e-C cF c-d-kVV CA-\0 cam- 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 (Box/Item numbers, Dates Covered Minimum Destruction(See DAN Schedule Ret volume,etc) Me}ion examples below*) o K‹ 0b5 Li '�D s.P a-tia , P� ►tirte.1 yea rml i�ci 3 ►/l I l►'0.IR 1-}iS-roomy oncy SiA-42kddl nq MI Ik_ A52•-0 l l- C...O,142.;E. (s y r cx-RA-n. •end sit c-t la o u-t-(i clx, J 105 aw,•O o•F -Fisca,► LIe.4.fk. banK of amen 200-1 I/t / I--1 cor�4raCj-oR. J-kransac-t i offs ver- Lk. bank,5-tate.m s sin-xeddir)ei J 8aflk‘nq CZ52ot\- GO. 12 .L U a-t- �-Uvia- St-c-t� ou7-SL. lO `— Dime• \gS \gev.p b�,Kof k. 2O0 0\ -10\"L_ (/1 I 1 cor m rc G-{ -i T\ Sac-tib(1S �r K 0 end o��Scal �eai2 banK s+oiemenkS sl&gedebr7_, *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 CA12\\'lXUi. W UQ-U, k �n _5_ Employee Signature: L��/ Printed Name: Division: a-tu(S Y� l\irl/ The Records Manager must sign th approval(e9j° of his `urequest prior to the destruction of the` listed records: Records Manager Signature: Printed Name: l (I� c- 6- "0 Date Approved: gin/00 The person/people responsible for the destruction 'of1 records �must �sign upon destruction �oof the listed rtecyords: CA Employee Signature: /�V Y L� ,�'�J�/�" nF�nted Name: w 1`` I�" w Date Records Destroyed: I Vendor Business Name(if used): ltrn('. rn 0\i S" - a a`)n Phone: , _ <817- b� � - 0 ` \ _ Vendor Signature: � L 0.klc CAC" "'� Printed Name: --'' Date Recor s c - \-h CCVki, OF r&QS* )L-k\0(N. . 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 Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See DAN Schedule volume,etc) Ret�ne ion examples below*) KeCIZQA-Vttiw PR50-t3C- PartKs,Ala, to Lke rS oJtQ 4Z ec r-ttc1 pan} ovkS p, caass NHeandanaz, tot Rev.O .$0,t-Fvrz.R2 yaSs cOMPt e-tt o(N-) wakvets I T 81 I°IG11 - (DM 19c11 I 1995 corltvac-t012. R v=2-4S ver (.0 th.er‘d.Q.s-kro.. vaiovSUcGeS s\A.A.°ctclth ii Ftnanc1 c) • USWi. - C.0-KZ.E nte s a l� gruel�} ov-t•si d� 5 TrrxnSQC-tloas I/(/2 coh-tVocto y tS4 tv.3 vee .Oend e Fsaxl bO 2� { 3 - eYLe. -o-1 r +h eve c �roy wrt " sn,aeddinr Recv..eo.-ttory eR,50-t3(,- pa-+R,Ks 'Reef u c S aF�?- ?apt. 10fant ov-sk -� UaSS fl+Eendancs-. `g gev.o cvt kvlr�e lass cDrr►PLe-ttot wauv I/I gaO - 12� Iq�iO �/1119°l� � 'r0.c�1361- �.c or .ds vex. t•o -Wert c Q$-k rO vo..r)ous o�seS s1n zd d trio *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: I , o CAk.A.VV71e-- --W LA-A PO.R,(GS 3 p a-E(.0 e-L, Employee Signature: � LA - `'Printed Name: Division: The Records Manager must sign the pproval of this request prior to the destruction of the listed records: / zi7 Records Manager Signature: Printed Name: 6 � L '�U.0 Date Approved: Q` (7/fib The person/people responsible for /the �destruction of recordsr ` must sign upon destruction off the �listed records:l 1 n g I�G1/'1N r "L�11U I W W V`1 r U lJL- �U Wr l�C. y ) L2i �Q C� Employee Si natur i tinted Name: Date Records Destroyed: Vendor Business Name(if used): 1.Q.�m rn C"CJ ,l� S' "' .c 1 nD Phone: i - % 1-1 — 0 1 12- c-a- octicxC\A-12 dl Vendor Signature: ... Printed Name: Bate Records Destroyed_. CQYA1-Fi COlki cA-QSi VI)C.Al0CN, The retention and disposition action for this Public Records Destruction Log is"Retain for the life of the agency"pursuant to CORE series C0-09-06. Form Revised 05/06/2014 Name: CO OP BREMERTON PARKS CERTIFICATE OF DESTRUCTION Address: 680 LEBO BLVD Le Moy p� a � ��� "�'��`` City: BREMERTC 98310 P/b it e ' ;/ ry ``, Phone: 360 473 5305 f % Io ' "Re uest: MR-MS-CORRINEckliai �% _q /'j VICERTIFIED gi l /////1�///�l�/lam//loff///!///%/G%/ /1////l//�l/i r/ gyp, / Account : 2185-952778-926 Service Date: 9/22/2020 Route Id: SN92 Ticket#: 1472971 On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions. CUSTOMER COPY Service Description Qty Rate Amount 95SC 1.00 95 GAL SHRED CART 35.70 SHEXB 1.00 SHRED EXTRA BOX 3.57 ,0"/ Driver Signature: Date: Truck Customer Signature: Date: Time 2910 Hogum Bay Rd Olympia Wa 98516 E-Mail: Ims@wcnx.org Phone: 1-877-898-0112 Fax: 1-360-486-2467