HomeMy WebLinkAboutMUNICIPAL COURT 06/23/2017City 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)).
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.Legal Dlsposltion'Autho"r ty (t"a"ken-fmhi Records-Retent+on,Schedu)e) "
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Agency Records
Description
,. Date,
,
"Records Series Title =
.-
Records°S606s
a
'`*' Records Retention
a
Mimmum,Retention:.Period
r,"
(Box/Item•numbers .,
Dates Covered
Minimum
Retention
Destructoon (See
DAN
Schedule •nz
volume etc)
M,
examples'below*)-
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et"
Source Records —
GS50-09-14
CORE 3.3
Verification of Successful
DM52-066-01
Closed May 20 —June 23, 2017
06-23-17
Secure shred bin
Images (Non-
Rev. 3
Conversion
for outside
Archival)
contractor
shredding
Source Records —
GS50-90-14 .
CORE 3.3
Verification of Successful
DM62-06A-01
Closed April 1— April 20, 2017
04-20-17
Secure shred bin
Images (Non-
Rev. 3
Conversion
Closed March 1— March 8,
for outside
Archival)
2017
contractor
(criminal files—
shredding
broken down)
Uniform Notice of
DM52-0613-
District &
3 years
Closed May 1— May 31, 2014
06-01-17
Electronic Copy
Infraction,Court
01
Municipal Courts
Deleted
Docket,'& Case File
Retention
(infraction)
Schedule — V6
Uniform Citation,
DM52-06A-
District &
3 years
Closed May 1— May 31, 2014
06-01-17
Secure shred bin
Complaint, Court -
01 -
Municipal.Courts
for outside
Docket & Case File
Retention
contractor
(criminal)
Schedule—V6
shredding
*Examples of methods of destruction: electronic deletion, in-house UK outside contractor snreaamg, secure recycirng, orner iaescnoei
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:
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Employee Signature: DCtALAm(21116 Printed Name:_! JQ.I_.L��°l l.�J' � � � C�.X�.S Division: ry) U1' -)I COL)1��
Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
' The Records Manager must sign i
a approval of this request prior to the destruction of the listed records:
Records Manager Signature: 0A A Printed Name: e> `' l� �2— "� Date Approved:
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signatu
Vendor Business Name (if used):
Vendor Signature:
Form Revised 05/06/2014
Printed Name:
Phone:
Printed Na
Date Records Destroyed:
Date Records Dest
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.
Le May Mobile
CERTIFICATE OF DESTRUCTION
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2910 Hogum Bay Rd
Olympia Wa 98516
E -Mail: Ims@wcnx.org
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Phone: 1-877-898-0112
Name: COOP MUNICIPAL COURT-BREMERTON Fax: 1-360-486-2467
Address: 550 PARK AVE
City: BREMERTON 98337
Phone: 360-473-5242
Account: 2185-952778-705
Request: RWAUTO
Invoice Date: 6/27/2017
Route Id: SN92
Invoice #: 1279408
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 2.98
SHEXB 1.00 SHRED EXTRA BOX 3.36
Driver Signature:
Customer Signature:
Date:
Date:
Truck
Time