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HomeMy WebLinkAboutMUNI COURT - 12/17/2014 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.) Retention examples below*) Met Uniform Notice of DM52-0613- District& 3 years Closed Oct—Nov 2011 12-01-14 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 Oct—Nov 2011 12-01-14 Secure shred bin Complaint,Court 01 Municipal Courts for outside Docket&Case File Retention contractor Schedule—V6 shredding Domestic Violence DM52-06E-02 District& 3 years after final disposition ol©OSYS _ �4100q 12-01-14 Secure shred bin &AntiHarassment Municipal Courts - for outside Case Files Retention Permanent Record Held by contractor Schedule—V6 JIS 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 responsiblee foorr inventorying the listed records must sign below prior to the Record's �Manager approval: �,, /� Employee Signature: I SLI��1m Printed Name: _ ( V �I �CJ� Division: �U1�1)G,�,( C7 L)Ir—� The Records Manager must sign(t4 approval of this request prior to the destruction of the listed records: Records Manager Signature: Printed Name: Date Approved: y The person/people responsible for the destruction of records must sign upon destruction of the listed records: ILI Employee Signature: 1—•t •l �Y� ! IJ Q,a2 lPrinted Name:_ .L_JIM�� ' v �' 1 Date Records Destroyed: I�� i�- Vendor Business Name(if used): Phone: 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*) Loomis Deposit GS2001-185 CORE 6 years after end of fiscal 10-27-2004-11-27-2007 01-01-14 Secure shred bin Books Rev.0 year for outside contractor shredding Correspondence GS2010-001 CORE 2 years 2011-October 31,2012 11-01-14 Secure shred bin Rev.3 for outside contractor shredding Public Disclosure GS2010-014 CORE 2 years 2011-October 31,2012 11-01-14 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: (�C��I�JY1 Printed Name: _Jn (V dson Division:r 0 )u mi ) �.I C( ur4 The Records Manager must sign t approval of this request prior to the destruction of the listed (records: �i� Records Manager Signature:CJ Printed Name: 0(dA" rl)�_ Date Approved: The person/people responsible for the destruction of records must sign upon destruction of the listed records: / - Employee Signature: rinted Name: _K)1�� Y) Date Records Destroyed: I'C")_ I lD Iy Vendor Business Name(if used): Phone: Form Revised 05/06/2014 Le Mato Mobile CERTIFICATE OF DESTRUCTION Sh. ,re in, G o 2910 Hogum Bay Rd � o Olympia Wa 98516 2 E-Mail: Ims@wcnx.org Name: CO OP MUNICIPAL COURT-BREMERTON Phone: 1-877-898-0112 Address: 550 PARK AVE Fax: 1-360-486-2467 City: BREMERTON 98337 Phone: 360-473-5242 Account#: 2185-952778-705 Route Id: SN92 Request: RWAUTO Invoice Date: 12/23/2014 Invoice#: 1137632 On the date shown, Designated Confidential Data`was Shredded and Destroyed as per Customers Instructions. Notes:Acct: 952778-705 Service Description Qty ,Ra unt 65SC 2.00 65 GAL SHRED CART .2 DEC 2 2 2014 BY i MU ICIPAL COURT Driver Signature: -4jLC_9 Date: 1Z..7 Z_,y Truck Customer Signature: Date: Time