HomeMy WebLinkAboutMUNI COURT - 01/27/2015 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
DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See
volume,etc.) examples below*)
Met
Adjusted GS2011-184 CORE-2.2 3 years 2007/2008/2009 January Secure shred bin
Receipts Report 2013 for outside
contractor
shredding
AP Adjustments GS2011-184 CORE 2.2 3 years 2007/2008/2009 January Secure shred bin
Audit Report 2013 for outside
contractor
shredding
AP Report GS2011-184 CORE 2.2 3 years 2007/2008/2009 January Secure shred bin
2013 for outside
contractor
shredding
AR Adjustments GS2011-184 CORE 2.2 3 years 2007/2008/2009 January Secure Shred bin
Audit Report 2013 for outside
contractor
Shredding
Deleted Cases GS2011-184 CORE 2.2 3 years 2007/2008/2009 January Secure Shred bin
Audit Report 2013 for outside
contractor
shredding
Ledger Summary GS2011-184 CORE 2.2 3 years 2007/2008/2009 January Secure Shred bin
Report 2013 for outside
contractor
shredding
Non-Cash GS2011-184 Core 2.2 3 years 2007/2008/2009 January Secure Shred bin
Credit Report 2013 for outside
contractor
shredding
Non-Time Pay GS2011-184 CORE 2.2 3 years 2007/2008/2009 January Secure Shred bin
Summary Report 2013 for outside
contractor
shredding
Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
Overpayments GS2011-184 CORE 2.2 3 years 2007/2008/2009 January Secure Shred bin
Activity Audit 2013 for outside
Report contractor
shredding
Remittance GS2011-184 CORE 2.2 6 years 2007/2008 January Secure Shred bin
Summary Report 2015 for outside
contractor
shredding
Restitution GS2011-184 CORE 2.2 3 years 2007/2008/2009 January Secure Shred bin
Adjustments Audit 2013 for outside
Report contractor
shredding
Restitution Out-of- G550-01-02 CORE Destroy when obsolete or 2007/2008/2009 January Secure Shred bin
Balance Audit superseded 2013 for outside
Report contractor
shredding
Time Pay Summary GS2011-184 CORE 2.2 3 years 2007/2008/2009 January Secure Shred bin
Report 2013 for outside
contractor
shredding
Check Register GS2011-184 CORE 2.2 3 years 2007/2008 January Secure Shred bin
Report 2012 for outside
contractor
shredding
Trust Account GS2011-184 CORE 2.2 6 years 2007/2008 January Secure Shred bin
Summary Report 2015 for outside
contractor
shredding
Daily GS2011-184 CORE 2.2 3yrs 2007 January Secure Shred bin
Disbursements 2011 for outside
Report 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: Printed Name:J�C� � �� Division:
Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
The Records Manager must sign a approval of this uest prior to the destruction of
listed records:
�'j
Records Manager Signatur • Printed Name. /�/ l Date Approved: /J
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: T)�Lu M Printed Name:_ son 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 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
Date
Description 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*)
Uniform Notice of GS50-09-14 Destroy after Files scanned-electronic Closed May 24, 2012-Jan 01-26-15 Secure shred bin
Infraction,Court digitization copies to be maintained for 3 2015 for outside
Docket,&Case File years 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 Rewor'd's Manager approval:
Employee Signature: ' ?I1 Q,QQ��
, Printed Name: Nelson elson Division:Tk7LAZU.,Qcot AA4
The Records Manager must sigrk44 approval of this r uest prior to the destruction of the listed records:
Records Manager Signatu Printed Name: /1,100 i wr ` Date Approved:
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
ti
Employee Signature: �L.�,l,l,�m -! Azyn Printed Name: jD11A,.W NO SOO Date Records Destroyed: I a-7- 15
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
to Mov Mobile CERTIFICATE OF DESTRUCTION
�fOR INFO m
Sh. r e o
2910 Hogum Bay Rd
Olympia Wa 98516
E-Mail: lms@wcnx.org C;
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: 1/27/2015 Invoice#: 1142889
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:L 2.77
41
IF b L Id
JAN 2 7 1015
BY
MUNICIPAL COURT
Driver Signature: Date: [-Z 7 i Truck
Customer Signature: Date: Time