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Home My WebLink AboutMUNI COURT - 10/25/2016 City of Bremerton Public Records Destruction Log The purpose of this form is to document compliance and reasonable accountability by verifymg that specific public records have met current, approved mirnmum 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 Loca/Government Records Retention Schedule(CORE)). Legal Disposition Authority(taken from Records Retention Schedule) Agenty Records Date Method of Descrlptfon Mlnlmum Records Serles TIUe Records Series Records Retention Mlnimum RetenUon Perlod (eox/Item numbers, Dates Covered Destrudfon(See DAN Schedule Retentlon examples below') volume,eu.) Met Source Records— GSSO-09-14 CORE 3.2 Verification of Successful DM52-06B-01 Closed September 24 2016— 10-21-16 Secure shred bin Images(Non- Rev.3 Conversion October 21,2016 for outside Archival) contractor shredding Uniform Notice of DM52-06B- District& 3 years Closed September 1— 10-01-16 Electronic Copy Infraction,Court 01 Municipal Courts September 30,2013 Deleted Docket,&Case File Retention Schedule—V6 Uniform Citation, DM52-06A- District& 3 years Closed September 1— 10-01-16 Secure shred bin Complaint,Court 01 Municipal Courts September 30,2013 for outside Docket&Case File Retention contractor Schedule—V6 shredding Uniform Citation, DM52-06J-01 District& 3 years Closed May 1—July 31,2013 08-01-16 Secure shred bin Complaint,Court Municipal Courts for outside Docket&Case File Retention contractor (parking) Schedule—V6 shredding Hand Receipt G52011-184 CORE 3.2 6 years after end of fiscal June 12,2007—December 14, 01-01-16 Secure shred bin Books Rev.2 year 2009 for outside contractor shredding Deposit Books GS2011-185 CORE 3.2 6 years after end of fiscal July 13, 2007—November 17, 01-01-16 Secure shred bin (parking&photo Rev.O year 2009 for outside enforced) contractor shredding Deposit Book GS2011-185 CORE 3.2 6 years after end of fiscal December 18,2007— 01-01-16 Secure shred bin (court) Rev.O year November 13,2009 for outside contractor shredding Check Register G52011-184 CORE 3.2 6 years after end of fiscal January 2, 1999—September 01-01-11 Secure shred bin Stubs Rev.2 year 14,2004 for outside contractor shredding Form Revised 05/06/2014 City of Bremerton Public Records Destruction Log Voided Checks GS2011-185 / CORE 3.2 6 years after end of fiscal June 18,1996—December 30, 01-01-15 Secure shred bin Rev.O year 2008 for outside contractor shredding Loomis Deposit G52011-185 CORE 3:2 6 years after end of fiscal November 28,2007— 01-01-15 Secure shred bin Slips Rev.O year December 31,2008 for outside � contractor shredding Daily Cashier GS2011-184 CORE 3.2 6 years after end of fiscal August 1,2007—February 26, 01-01-15 Secure shred bin Reports Rev.O year 2008 for outside contractor shredding Collection Agency GS2012-047 CORE 3.2 4 years after end of fiscal April 9, 2007—February 22, 01-01-15 Secure shred bin Statements Rev.O year 2008 for outside contractor shredding Bank Account GS2011-184 CORE 3.2 6 years after end of fiscal lanuary 1,2007—December O1-01-14 Secure shred bin Reconciliation Rev.2 year 31,2007 for outside Statement contractor shredding Bank Statements GS2011-185 . CORE 3.2 6 years after end of fiscal January 1,2007—December O1-01-14 Secure shred bin and Checks Rev.O year 31,2007 for outside contractor shredding Merchant Card GS2011-185 CORE 3.2 6 years after end of fiscal March 2007—December 2007 01-01-14 Secure shred bin Statements Rev.O year for outside contractor shredding *Examples of inethods of destruction:electronic deletion,in-house OR outside contractorshredding,secure recycling,other(describe) Stacement: 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:, �L 7Y1 ��(..�l.C�-J'1'!O Printed Name: � 1 J h W � � � 1 C.�'7—S Division: / � (V n/C�C1� �L�lr The Records Manager must sign the approval of this request prior to the destruction of the listed records: Form Revised 05/06/2014 City of Bremerton Public Records Destruction Log Records Manager Signature: Printed Name: r/ Date Approved: ' � The person/people responsible for the destruction of records must sign upon destruction of the listed records: � . . . . .1� Employee Signature: i i l��''� �� 1Q1'�'�� Printed Name: 111�1"7 (�l j � )Q.X'1'�l.s 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 G550-09-06. Form Revised 05/06/2014 L� M��► Mobil� CERTIFICATE OF DESTRUCTION �� `O�(OA �Mfp�¢,m� �� j�� 2910 Hogum Bay Rd .� �� %o/////%�"////.I�////1'/�'/,%//////////////,�/I'///l'/./O.�///�,��//D'� Olympia Wa 98516 �, E-Mail: lms@wcnx.org � • � Name: CO OP MUNICIPAL COURT-BREMERTON Phone: 1-877-898-0112 � ��~ Address: 550 PARKAVE Fax: 1-360-486-2467 °%��.. �ao�� • BREMERTON 98337 •!:•�� C�ty. � . . Phone: 360-473-5242 Account#: 2185-952778-705 Route Id: SN92 Request: RWAUTO Invoice Date: 10/25/2016 Invoice #: 1240196 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 2.96 SHEXB 1.00 SHRED EXTRA BOX 3.33 Driver Signature: � Date: Truck Customer Signature: �,Q,2'Z...Q� Date: Time