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Home My WebLink AboutMUNI COURT - 04/16/2015 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 Date Records Series Records Retention Description Minimum Method of Records Series Title Minimum Retention Period (Box/item numbers, Dates Covered Destruction(See DAN Schedule Retention Met volume,etc.) examples below*) Adjusted GS2011-184 CORE-2.2 3 years 2010/2011 January Secure shred bin Receipts Report 2015 for outside contractor shredding AP Adjustments GS2011-184 CORE 2.2 3 years 2010/2011 January Secure shred bin Audit Report 2015 for outside contractor shredding AP Report GS2011-184 CORE 2.2 3 years 2010/2011 January Secure shred bin 2015 for outside contractor shredding AR Adjustments GS2011-184 CORE 2.2 3 years 2010/11 January Secure Shred bin Audit Report 2015 for outside contractor Shredding Deleted Cases GS2011-184 CORE 2.2 3 years 2010/11 January Secure Shred bin Audit Report 2015 for outside contractor shredding Ledger Summary GS2011-184 CORE 2.2 3 years 2010/11 January Secure Shred bin Report 2015 for outside contractor shredding Non-Time Pay GS2011-184 CORE 2.2 3 years 2010 January Secure Shred bin Summary Report 2014 for outside contractor shredding Overpayments GS2011-184 CORE 2.2 3 years 2010/11 January Secure Shred bin Activity Audit 2015 for outside Report contractor shredding Form Revised 05/06/2014 City of Bremerton Public Records Destruction Log Restitution GS2011-184 CORE 2.2 3 years 2010/11 January Secure Shred bin Adjustments Audit 2015 for outside Report contractor shredding Restitution Out-of- GS50-01-02 CORE Destroy when obsolete or 2010/11 January Secure Shred bin Balance Audit superseded 2015 for outside Report contractor shredding Time Pay Summary GS2011-184 CORE 2.2 3 years 2010 January Secure Shred bin Report 2014 for outside contractor shredding *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 inventoryin the listed records must sign below prior to the Record's Manager approval: Employee Signature:LU n Printed Name: g&U-a Division: MUn I C( oei I CLU Y' The Records Manager must sign the approval of this equest prior to the destruction of the listed records: 1I � f I S Records Manager Signature. Printed Name:_ r �,��/�U,r!)n y� 042 rh� Date Approved: (0 The person/people responsible for the destruction of records must sign upon destruction of the listed records: LEmployee Signature PF Printed Name: �tff> ,( Date Records Destroyed:' 91 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 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 Records Retention Description MinimDate Method of Records Series Title DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See volume,etc.) Met examples below*) Source Records— G550-09-14 CORE 3.1 Verification of Successful DM52-06B-01 March 24, 2015—April 16, 04-16-15 Secure shred bin Images(Non- Rev. 1 Conversion 2015 for outside Archival) contractor shredding Uniform Notice of DM52-06B- District& 3 years Closed March 2012 3-31-15 Secure shred bin Infraction,Court 01 Municipal Courts for outside Docket, &Case File Retention contractor Schedule—V6 shredding Uniform Citation, DM52-06A- District& 3 years Closed March 2012 3-31-15 Secure shred bin Complaint,Court 01 Municipal Courts for outside Docket&Case File Retention contractor Schedule—V6 shredding *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: 1>t�N'1 �C'J1�1 Printed Name: �In 1 V A s a Division: / ,may,/01''11 i cinoJ C�tjr-C The Records Manager must sign the approval of this quest prior to the destruction of the listed records: [� ��l r� Records Manager Signature: &O—R.Y.WL Date APrinted Name: Approved: The person/people responsible Tl for the destruction of records must sign upon destruction of the listed records: Employee Signature: rLJQ n�C� Printed Name: _I CLWn /VtPJ 4i on Date Records Destroyed: Vendor Business Name(if used): Phone: Form Revised 05/06/2014 City of Bremerton Public Records Destruction Log 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 Lei May Mobile CERTIFICATE OF DESTRUCTION �FOR INfo,,m 2910 Hogum Bay Rd Olympia Wa 98516 oZ S'Jevire' " E-Mail: Ims@wcnx.org Phone: 1-877-898-0112 Name: COOP MUNICIPAL COURT-BREMERTON Fax: 1-360-486-2467 Address: 550 PARK AVE , City: BREMERTON 98337 Phone: 360-473-5242 Account :-2185-952778-705 Route Id: SN92 Request: RWAUTO Invoice Date: 4/28/2015 Invoice#: 1156788 On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions. Notes: Acct: 952778-705 Service Description Qty Rate Amount 65SC 2.00 65 GAL SHRED CART 2.77 IN EV APR 2 S 015 Driver Signature: Date: y.z$ ��f ®YMTrucklP Customer Signature: Date: Time