FY2006-07 Disposal of Mental Health RecordsKODIAK ISLAND BOROUGH
RESOLUTION NO. FY2006 -07
Introduced by: Borough Clerk
Requested by: Borough Clerk
Drafted by: Records Manager
Introduced: 08/04/2005
Adopted: 08/04/2005
A RESOLUTION OF THE KODIAK ISLAND BOROUGH ASSEMBLY
AUTHORIZING THE RECORDS MANAGER TO DISPOSE
OF MENTAL HEALTH RECORDS
WHEREAS, Kodiak Island Borough Code 2.16.200 provides for the destruction of records
which were certified by the clerk and attorney as having no legal or administrative value or
historical interest; and
WHEREAS, with the exception of the striked through records, which are covered by the Exxon
Valdez retention order and which should be retained, the attomey found no other documents on
the list which have unusual legal, administrative, or historical interest; and
WHEREAS, Providence Kodiak Island Counseling Center Records Manager was given the
opportunity to review the destruction of the specific records attached to this resolution; and
WHEREAS, Resolution No. 95 -01 and amendments provides the minimum retention
requirements for specific records; and
NOW, THEREFORE, BE IT ORDAINED BY THE ASSEMBLY OF THE KODIAK
ISLAND BOROUGH THAT:
Section 1: The attached list of records are not of a historical, legal, nor administrative value and
have met the minimum retention requirements.
Section 2: These records may be destroyed as provided by Kodiak Island Borough Code
2.16.200.B.
ATTEST:
ADOPTED BY THE ASSEMBLY OF THE KODIAK ISLAND BOROUGH
THIS FOURTH DAY OF AUGUST, 2005
a ktek �
udith Nielsen, C Borough Clerk
Kodiak Island Borough, Alaska
Je
KODIAK ISLAND BOROUGH
e M. Selby, Borough Ma
Resolution No. FY 2006 -07
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MH -03
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
CELF PAY STATEMENTS, 1
SELF PAY STATEMENTS, 1
MH -03
M11-03
MH -03
MH -03
MH -03
MH -03
MH -03
MH -03
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
SELF PAY STATEM
MH -03
MH -03
ACCOUNTS RECEIVABLE
SELF PAY STATEMENTS, 05/1994- 12/1994
ACCOUNTS RECEIVABLE
SELF PAY STATEMENTS, 1996
ACCOUNTS RECEIVABLE
SELF PAY STATEMENTS, 11/1996
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
MH -03
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
CASH RECEIPT
12/1993 12/1994
MH -03 ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
CASH RECEIPTS, BILLABLE ACTIVITY
POSTINGS; 07 /1994- 12/1994
ACCOUNTS
ACCOUNTS
ACCOUNTS
RECEIVABLE
RECEIVABLE
RECEIVABLE
CASH RECEIPTS, BILLABLE ACCOUNTS, 1995
CASH LISTINGS, 1995 -1997
CASH RECEIPTS, 01/1996- 12/1996
ACCOUNTS
RECEIVABLE
ACCOUNTS
RECEIVABLE
CASH RECEIPTS, 1994, 1996, 1997
ACCOUNTS RECEIVABLE
MH -03 ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
MH -03 ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
1992, 1993, 1994
:POSITS AND ADJUSTMENTS
1992 08/1993
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
RECEIPT BOOKS, 1990
RECEIPTS PO
LISTINCS 01/1991 06/1994
CASH RECEIPTS, 1997
PURGE REPORTS, 04/1996- 06/1997
PURGE REPORTS, 07/1997
ACCOUNTS RECEIVABLE AGING, 1994 -1995
ACCOUNTS RECEIVABLE AGING, 1997
ADJUSTMENTS, 10/1994- 12/1994, 1995
DEPOSITS, 07/1994-06/1995
H -2 -06
H -2 -04
HALL/BOX#2
H -3 -10
HALLBOX #13
HALL/BOX#5
H -5 -09
HALL /BOX #1
HA LL/BOX #4
HALL/BOX#8
H -3 -04
H -6 -06
HALL
BOX #3
HALL/BOX#6
H -6 -09
HALL/BOX#30
HALL/BOX#29
HALLBOX #21
HALL/BOX#27
H -5 -06
H -7 -04
H -6 -04
HALL/BOX#10
H -6 -07
HALL/BOX#14
ACCOUNTS RECEIVABLE
DEPOSITS AND ADJUSTMENTS, 1996
HALLBOX #31
ACCOUNTS RECEIVABLE
INSURANCE BIL
H -4 -04
MH -03
MH -03
MI-I-03
MH -03 ACCOUNTS RECEIVABLE
MH -03
MI-I-03
MH -03
MH -03
MH -03
MH -03
MH -03
MH -03 ACCOUNTS RECEIVABLE
MH -03
MH -03
ACCOUNTS RECEIVABLE
CASH RECEIPTS, 01/1997 - 06/1997
ACCOUNTS RECEIVABLE AGING, 1996
07/1997 12/1997
CASH RECEIPTS LISTINGS, 01/1992 12/1993
PURGE REPORTS, 1994
• ., r.• - - . ..
H -5 -07
I-A LLBO X # 7
H -1 -07
ACCOUNTS RECEIVABLE
Kodiak Island Borough, Alaska
Resolution No. FY 2006-07
Page of
ACCOUNTS RECEIVABLE COMMERCIAL INSURANCE, 1994 -1995
ACCOUNTS RECEIVABLE INSURANCE EOBS, 1994 -1997
11-7-09
MH -03
MH -03
MH -08
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
.. _ .Y __ .1. . ..
ADMINISTRATIVE SUBJECT
FILES
OLD MENUS & BANK STATEMENTS, 1994 -1996
PATIENT CASE FILES
PATIENT CASE FILES
PATIENT CASE FILES
DD FILES: C.O., F.P., M.A., J.S.,
DD FIL S: D.A.; M.A.;N.B, 1991
11-2-07
H -4 -07
PATIENT CASE FILES
PATIENT CASE FILES
PATIENT CASE FILES
DD FIrES c. 1991
D FILES a m. 1991
H -3 -09
H -1 -08
MH -08
MH -10
MH -10
PATIENT CASE FILES
STAFF LOG
STAFF LOG
DD-FIL S J.0
STAFF LOCI 1992
ACTIVITY LOCS,
STAFF HOURS; 1996 -1997
11-5-04
H -2 -12
H -7 -07
H -2 -09
H-4 -09
MH -10
MH -10
MH -10
STAFF LOG
STAFF LOG
STAFF LOG
STAFF LOOS 1991
STAFF LOCS 12/1
11-4-10
HALLBOX #26
MH -03
MH -03
MH -03 ACCOUNTS RECEIVABLE
MH -03 ACCOUNTS RECEIVABLE
MH -03 ACCOUNTS RECEIVABLE
MH -03
ACCOUNTS RECEIVABLE
MH -03
MH -03 ACCOUNTS RECEIVABLE
MH -03
MH -03
MH -03
MH -04
MH -08
MH -08
MH -08
MH -08
MH -08
M11-08
MH -10
MH -10
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
ACCOUNTS RECEIVABLE
PATIENT CASE FILES
PATIENT CASE FILES
STAFF LOG
STAFF LOG
MH -10 STAFF LOG
MH -10 STAFF LOG
DEPARTMENT HEAD APPROVAL:
These records totaling
Kodiak Island Borough, Alaska
INSURANCE EOBS, 1995 -1996
INSURANCE EOB'S, 1997
NONBILLABLE LIST AND CONSOLATION
1995 -1996
NONBILLABLE AND CONSOLATION; 1997
MONTHLY ADMISSION REPORT; 1991 -1997
BILLING STATEMENT, INVOICE COPIES
02/1997- 08/1997
MEDICAID - BILLS, 084992 12/1993
ACTIVITY LOC EDIT, 1992, 1993, 1994
CLIENT CENSUS COMMODITIES
CLIENT BILLING, 1988 1991
VITY LOGS, 1997
ACTIVITY LOGS, 1997
ACTIVITY LOGS, 1997
cu. ft. were destroyed on
HALLBOX #28
HALL/BOX#25
HALL/BOX #23
HALL /BOX #11
HALLBOX #9
11-4-06
HALL/BOX#12
HALLBOX #17
HALL /BOX #22
11-2-12
11-7-12
H -7 -10
HALLBOX #15
HALLBOX #19
HALLBOX #20
Resolution No. FY 2006 -07
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