HomeMy WebLinkAboutMUNI COURT - 11/24/2014 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 MiniData Method of
Records series Tide Minimum Retention Period (Box/item numbers, Dates Covered Destruction(see
DAN Sdiedule volume,etc.) Retention examples below')
met
Uniform Notice of GSSG-09-14 Destroy after Files scanned—electronic Closed 2012—2014 11-19- Outside
Infraction,Court digitization copies to be maintained for 3 2014 contractor
Docket,&Case File years 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: y�� t
Employee Signature: Df J L T � Printed Name: ~�i.Aan 1 e-Asnn Division:i I 10171
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
l
Records Manager Signature: � Printed Name:`•�V hI � �1�1 In Date Approved:
The person/people responsible for the destruction of records must sign upon destruction of the listed records: I
Employee Signature:� l�l '/ 'L1CY/�C'� Printed Name: -LJQ�.UY"1 N �S G Date Records Destroyed: I �' �o �7" I y
Vendor Business Name(if used): r ' l Phone:
Vendor Signature: Printed Name: ./✓0.Y,an J����il, Date Records Destroyed:
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 Minimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See
DAN Schedule volume,etc.) Met examples below*)
Uniform Notice of GS50-09-14 Destroy after Files scanned—electronic Closed 2012—2014 11-19- Outside
Infraction,Court digitization copies to be maintained for 3 2014 contractor
Docket,&Case File years 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: W�
Employee Signature:�Q 1, � Printed Name:, (�.1� 1 VQJ'��� Division: muni
/0171�.�Q.� C6 U 1r7f
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: Printed Name: Date Approved:
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: Printed Name: Date Records Destroyed:
Vendor Business Name(if used): Phone:
Vendor Signature: Printed Name: Date Records Destroyed:
Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
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
ilei MoMobile CERTIFICATE OF DESTRUCTION
FOR INf m
2910 Hogum Bay Rd
&,VOlympia Wa 98516�1/�i, E-Mail: Ims@wcnx.org o
Phone: 1-877-898-0112
Name: COOP MUNICIPAL COURT-BREMERTON Fax: 1-360-486-24670 �c
Address: 550 PARK AVE 4�9y ao�
City: BREMERTON 98337
Phone: 360-473-5242 Account : 2185-952778-705 Route Id: SN92
Request: RWAUTO Invoice Date: 11/25/2014 Invoice#: 1133267
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 Z' 2.77
Driver Signature: Date: /-Z9.if Truck
Customer Signature: Date: Time