HomeMy WebLinkAboutMUNI COURT - 02/23/2016 �
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 ihan "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 Retenrion Schedule(COREJ).
' Legal Disposition Authority(taken from Records Retention Schedule) Agency Retords
Date Method of
Description
Records Series Records Retention Minimum Retention Period Box Item numbers, Dates Covered Minimum Destruction(See
Records Series Title DAN Schedule ( � Retention f
volume,etc.) Met examples below )
Source Records— GS50-09-14 CORE 3.1 Verification of Successful DM52-06B-01 Closed November 24— 12-20-15 Secure shred bin
Images(Non- Rev. 1 Conversion December 20, 2015 for outside
Archival) contractor
shredding
Uniform Notice of DM52-066- District& 3 years Closed August 1—September 12-01-15 Electronic Copy
Infraction,Court O1 Municipal Courts 30, 2012& November 1-30, Deleted
Docket, &Case File Retention 2012
Schedule—V6
Uniform Citation, DM52-06A- District& 3 years Closed September 1-30, 2012 10-01-15 Secure shred bin
Complaint, Court O1 Municipal Courts for outside
Docket&Case File Retention contractor
Schedule—V6 shredding
Uniform Citation, DM52-061-01 District& 3 years I Closed September 1—30, 2012 10-01-15 Secure shred bin
I Complaint, Court Municipal Courts for outside
Docket&Case File Retention contractor
(photo enforced) Schedule—V6 shredding
*Exomples of inethods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recyclmg,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:
Ernployee Signature: "/ .( I.uJ� �/ . l�D�_Pnnted Name:�� p J�il S��'-1 Division:l � � )I7) C'.l. �U rT
v� �p b
The Records Manager must sign t proval of this reqil�est prior to the destruction of the listed records:
Records Manager Signature• Printed Name:v �✓L�— ��f�� Date Approved: R ��o� �(Co
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: J�'�.LUYI �/Y1_ Printed Name: __.C.l..l.�Jn �'�15�� 1 Date Records Destroyed: � '��'� `Y
Vendor Business Name(if used): Phone:
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 thon "Retain until no longer needed for agency business then destroy" (such as records covered in the "Records with Minimal Retention
Value" section of the Locol Government Records Retent�on Schedule(COREJ).
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 )
Search Warrants DM-52-06A- District& 2 years March 21, 2003—March 18, 04-01- Secure shred bin
02 Municipal Courts 2011 2013 for outside
Retention contractor
Schedule—V6 shredding
- ��- *Examples of inethods of destruction:electronic delet�on,in-house OR outside contractor shredd�ng,secure recyding, other(describe)
Statement: The public records listed above have met their minimum retention period(sJ, are not subject to ongoing or reasonably anticipated litigation or
public records requesis, are not needed for audit or other aqency 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 .0�.�� Printed Name: I l! D ,� J 1-l� l�.J�.�7�Y1 Division: / � /� l�)^ ' �dU�T
The Records Manager must sign t e approval of this request prior to the destruction of the listed records:
Records Manager Signature: Printed Name:� YILc���- �-�}•�'" Date Approved: �� ��'`�
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: .�.1 "/ 11CX�Printed Name: ,1 /(�c�t�l� �`1U�S�� Date Records Destroyed: ��r�"`�� 1 �
Vendor Business Name(if used): Phone:
Vendor Signature: Printed Name: Date Records Destroyed:
Form Revised OS/06/2014
� LC�+ �C� �Vlobil� CERTIFICATE OF DESTRUCTION
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• ���j � �G 2910 Hogum Bay Rd ,��°`� �
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Name: CO OP MUNICIPAL COURT-BREMERTON Fax: 1-360-486-2467 �o �c �
Address: 550 PARK AVE �'��,;,, �°�
City: BREMERTON , 98337 • '
Phone: 360-473-5242 Account : 2185-952778-705 Route Id: SN92
Request: RWAUTO Invoice Date: 2/23/2016 Invoice#: 1202332
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 89
__,
Driver Signature: --" ' Date: Truck
Customer Signature: Date: Time