HomeMy WebLinkAboutFINANCE 07052022 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.) Retention examples below*)
MeAccounting—Financial GS2011-184 Core 3.2 6 years after end of fiscal 2 boxes January—December 2015 1/1/22 Outside
Transactions-General Rev. 2 year vouchers-EFT contractor
Claims shredding
Accounting—Financial GS2011-184 Core 3.2 6 years after end of fiscal 8 boxes January—December 2015 1/1/22 Outside
Transactions—General Rev. 2 year checks-CLAIMS Check#361802— contractor
Check#366707 shredding
Accounting—Financial GS2011-184 Core 3.2 6 years after end of fiscal 6 boxes January—December 2015 1/1/22 Outside
Transactions—General Rev. 2 year P-Card contractor
statements shredding
Accounting—Financial GS50-03A-30 Core 3.2 6 years after end of fiscal 1 box Check January—December 2015 1/1/22 Outside
Transactions—General Rev. 2 year Registers contractor
shredding
Accounting—Security GS2011-184 Core 3.2 6 years after end of fiscal 1 box January—December 2015: 1/1/22 Outside
—General Rev. 2 year Financial Purchase Requisitions contractor
Transactions shredding
*Examples of methods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describe)
1I
City of Bremerton Public Records Destruction Log
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: Qe9thPrinted Name: Judy Szathmary Division: Financial Services
The Records Manager must sign C thee) papprovaall of this request prior to the destruction of the listed records: r�
Records Manager Signature: o c� 2 ��Printed Name: rC/\"\ - L-u a[— , ' Date Approved: v h Lii 0 g j O 0 3
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Jre--
CIO
Brown 5 2 Employee Signature: �./� Printed Name: l CIO Date Records Destroyed: 1
Vendor Business Name(if used): L, AG `11ob11 e. 5 Y 1(e dd\ln q 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.
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CERTIFICATE OF DESTRUCTION
Name: CO OP CITY OF BREMERTON-STORAGE • Eoa Iw
UNIT Le May Mobile ,���� p
Address: 3027 OLYMPUS DR y �/�j y
City: BREMERTON 98310 /% f�irjrfl n�4 CERTIFIED
Phone: 360-473-5304 o0 4 4-/d U//ii, o y
Request: RR-PT oi� //// ///////////O/� /l�i�/o/%%/ of `�c
N . ro
Account : 2185-952778-934 Service Date: 7/5/2022 Route Id: SN92 Ticket#: 1586354
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
CUSTOMER COPY
Service Description Qty Rate Amount
SHEXB 1.00 SHRED EXTRA BOX 3.78
SHPURGE 1.00 SHRED ONE TIME PURGE _1 38.90
Driver Signature: /('Z Date: Truck
Customer Signature: Etta— 'Dor•Acle f--F Date: 7 /2.2. Time
2910 Hogum Bay Rd Olympia Wa 98516 E-Mail-lms@wcnx.org Phone: 1-877-898-0112 Fax: 1-360-486-2467