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Home My WebLink AboutMUNI COURT - 06/23/2015 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(COREJ). Legal Disposition Authority(taken from Records Retention Schedule) Agency Retords Description Date Method of Records Series Records Retention Minimum Records Serles Title Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See DAN Schedule volume,etc.) Ret�iion examples below•) Financial G52011-184 CORE 3.1 6 years after end of fiscal Jan 13,2005—May 30,2008 01-01-15 Secure shred bin Transactions— REV. 2 year for outside Check Registers contractor shredding Uniform Notice of DM52-06J-01 District& 3 years Closed!�1—May 31, 2012 05-31-15 Secure shred bin Infraction,Court Municipal Courts pP�� for outside Docket&Case File Retention contractor Schedule—V6 shredding Uniform Citation, DM52-06A- District& 3 years Closed Jan 1, 2007—Dec 31, 12-31-12 Secure shred bin Complaint, Court 01 Municipal Courts 2008 for outside Docket&Case File Retention contractor (DV Cases) Schedule—V6 shredding *Exomp/es of inethods 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 I ��Q,��1 Printed Name: �JQ.�..l.�n 'V�5�� Division: 1 1 1UI7IC�L,I�.� �Ur� The Records Manager must sign tbe, proval of this req�est prior to the destruction of the listed records: Records Manager Si�nature: �'- Printed Name: v�. Y��l�►' ` w��' Date Approved: " •/�"� The person/people responsible for the destruction of records must sign upon destruction of the listed records: Employee Signature: . Printed Name: ��Y1 N� 7dY1 Date Records Destroyed: C.S��a��f� Vendor Business Name(if used): Phone: Vendor Signature: Printed Name: Date Records Destroyed: The reten[ion and disposition action for this Public Records Destrudion Log is'Retain for the life of the agency"pursuant to CORE series GS50-09-06. Form Revised OS/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 Method of Descrlption Records Series Records Retentlon Minimum Records Series Title DAN Schedule Mtnimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See volume,etc.) Met examples below•) Source Records— GS50-09-14 CORE 3.1 Verification of Successful DM52-066-01 March 1,2015—May 31,2015 05-31-15 Secure shred bin Images(Non- Rev. 1 Conversion for outside Archival) contractor shredding Uniform Notice of DM52-066- District& 3 years Closed April 2012 4-30-15 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 April 2012 4-30-15 Secure shred bin Complaint,Court Ol Municipal Courts for outside Docket&Case File � Retention contractor Schedule—V6 shredding *Examples of inethods of destruction:e/ectronic deletion,in-house OR outside contractor shredding,secure recycling,other(describeJ 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: �y IXXJJ� Printed Name: �Q�,�.7�.�1 '`�� n Division:�l�1'1 J C,tl'7Q1 l��l)� The Records Manager must sign t approval of his request prior to the destruction of the listed records: Records Manager Signature: Printed Name: V" '""'�� Date Approved: " /� � The person/people responsible for the destruction of records must sign upon destruction of the listed records: Employee Signature: _,.JC�.��.I�Y) / !� Q�� Printed Name: 1 Jd..L.lY1�1 N��aYl Date Records Destroyed: ��a3'"� S 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 LG� �C� �O�IIC�i CERTIFICATE OF DESTRUCTION � �EOA INF� �n � � 2910 Hogum Bay Rd .��° � �� Olympia Wa 98516 � � i E-Mail: Ims@wcnx.org � o %.�;i":;d',� °,�ii'%�'/'�//.�'�i%G�'D' ' � Phone: 1-877-898-0112 � � �., Name: CO OP MUNICIPAL COURT-BREMERTON Fax: 1-360-486-2467 �� Address: 550 PARK AVE ��r,;, e�o` City: BREMERTON , 98337 • ' Phone: 360-473-5242 Account : 2185-g52778-705 Route Id: SN92 Request: RWAUTO Invoice Date: 6/23/2015 Invoice#: 1165274 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 �� Driver Signature: �� Date: �-Z?�,S Truck Customer Signature: Date: Time