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Home My WebLink AboutMUNI COURT - 02/24/2015 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 Description Date Method of Records Series Title Records Series Records Retention Minimum Retention Period (Box/item numbers, Dates Covered _Minimum Destruction(See DAN Schedule Retention volume,etc.) Met examples below*) Source Records— GS50-09-14 CORE 3.1 Verification of successful DM52-0613-01 Closed April 9,2012-Feb 19, 02-19-15 Secure shred bin Imaged(Non- Rev. 1 conversion 2015 for outside Archival) 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 inventorying the listed records must sign below prior to the Record's Manager approval: Employee Signature: 7 O_tA5- 1 � X) Printed Name: M QJ-S 01 1 Division: rnun 1[,jr:)�] co i- r4 The Records Manager must sign approval of this request prior to the destruction of the listed records: Records Manager Signatur Printed Name: h 6)e-/,LL Date Approved: 3. The person/people responsible for the destruction of records must sign upon destruction of the listed records: Employee Signature: A TY-1 Printed Name: 1 .l -O Date Records Destroyed: 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 GSSO-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 Date Records Series Records Retention Description Minimum Method of Records Series Title DAN Schedule Minimum Retention Period (Box/item numbers, Dates Covered Retention Destruction(See volume,etc.) Met examples below*) Uniform Notice of DM52-06B- District& 3 years Closed December 2011& 2-13-2015 Secure shred bin Infraction,Court 01 Municipal Courts January 2012 for outside Docket,&Case File Retention contractor Schedule—V6 shredding Uniform Citation, DM52-06A- District& 3 years Closed December 2011& 2-13-2015 Secure shred bin Complaint,Court 01 Municipal Courts January 2012 for outside Docket&Case File Retention contractor Schedule—V6 shredding Bank Statements GS2011-185 CORE 3.1 6 years after end of fiscal December 2003—December 1-1-2013 Secure shred bin and Checks Rev.O year 2006 for outside contractor shredding Daily Cashier GS2011-184 CORE 3.1 6 years after end of fiscal August 2007—December 2008 1-1-2015 Secure shred bin Reports—Parking Rev. 2 year for outside contractor shredding Collection GS2011-184 CORE 3.1 6 years after end of fiscal August 2007—December 2008 1-1-2015 Secure shred bin Statements- Rev. 2 year for outside Parking contractor shredding Public Disclosure GS2010-014 CORE 3.1 2 years May 2009—April 2011 5-1-2013 Secure shred bin and Records Rev. 2 for outside Request 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 inventorying the listed records must sign below prior to the Record's Manager approval: Employee Signature:'T QkA_)-" -Y 1_nnC,5f)Printed Name: _DQ A_t 1y QJI 5n)'-:) Division: M un I C n 62o ) l� io (4 Form Revised 05/06/2014 City of Bremerton Public Records Destruction log The Records Manager must sign the approval of this request prior to the destruction of the listed records: Records Manager Signatur Printed Name: C�Y1�� Date Approved: •�" �� The person/people responsible for the destruction of records must sign upon destruction of the listed records: l Employee Signature: +] � �� L�JCJJ�N1 Printed Name: �C�.-71'-1 1 V mil Com!', Date Records Destroyed: 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 - Le May Mobile CERTIFICATE OF DESTRUCTION 7 �FpR INFO m 2910 Hogum Bay Rd �o rep Olympia Wa 98516�� Ir/Off, E-Mail: Ims@wcnx.org o Ar Phone: 1-877-898-0112 Name: COOP MUNICIPAL COURT-BREMERTON Fax: 1-360-486-2467 Address: 550 PARK AVE a City. BREMERTON 98337 Phone: 360-473-5242 Account : 2185-952778-705 Route Id: SN92 Request: RWAUTO Invoice Date: 2/24/2015 Invoice#: 1147059 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 Driver Signature: 4992 Date: Truck Customer Signature: Date: Time