HomeMy WebLinkAboutMUNICIPAL COURT 05/21/2018City 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
Records Series Title
Records series
Records Retention
Minimum Retention Period
Description
(Box/Item numbers,
Dates Covered
Date
Minimum
Retention
Method of
Destruction (see
DAN
Schedule
volume, etc.)
examples below*)
Met
Source Records —
GS50-09-14
CORE 4.0
Verification of Successful
DM52-06A-01
Various Dates
05-18-18
Secure shred bin
Images (Non-
Rev. 3
Conversion
for outside
Archival)
contractor
(All Case Types)
shredding
Uniform Citation,
DM52-06A-
District &
3 years
Closed March 1, 201 — April 30,
05-01-18
Secure shred bin
Complaint, Court
01
Municipal Courts
2015
for outside
Docket & Case File
Retention
contractor
(criminal)
Schedule — V6
shredding
Uniform Notice of
DM52-066-
District &
3 years
Closed April 1—April 30, 2015
05-01-18
Electronic Copy
Infraction, Court
01
Municipal Courts
Deleted
Docket, & Case File
Retention
(infraction)
Schedule—V6
Uniform Notice of
DM52-066-
District &
3 years
Closed February 1— April 30,
05-01-18
Secure shred bin
Infraction, Court
01
Municipal Courts
2015
for outside
Docket, & Case File
Retention
contractor
(Parking & Photo
Schedule — V6
shredding
Enforcement)
*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 Misted records must sign below prior to the Record's Manager approval:
Employee Signature: 1.1 iYl ILUi aiYL7 Printed Name: ) l �) I Q 5 Division: C,,L
The Records Manager must sign the approvaLQf this request prior to th truction of the listed records:
Records Manager Signature: Printed Name: Date Approved:Z r h
Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature:
Vendor Business Name (if used):
Vendor
Form Revised 05/06/2014
Printed Name:
Pho
Printed Name:
Date Records Destroyed:
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.
Le May Mobile CERTIFICATE OF DESTRUCTION
Y t� *OF
//� nill
/� j 2910 Hogum Bay Rd
///�igojOlympia Wa 98516 �i�i � % 1/111/10111151 % E -Mail: Ims@wcnx.org
Phone: 1-877-898-0112
Name: CO OP MUNICIPAL COURT-BREMERTON Fax: 1-360-486-2467 �n
Address: 550 PARK AVE
City: BREMERTON 98337
Phone: 360-473-5242 Account: 2185-952778-705
Request: RWAUTO Invoice Date: 5/22/2018
Route Id: SN92
Invoice #: 1332891
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 C
SHEXB 1.00 SHRED EXTRA BOX `�, TO 3.13
3.47
Driver Signature: - � Date: Truck
Customer Signature: Date: Time