HomeMy WebLinkAboutMUNICIPAL COURT 07/27/2018City 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
itperiods 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
Description
Date
Minimum
Method of
Records Series Title
Records Series
Records Retention
Minimum Retention
(Boolumnumbers,
Dates Covered
Retention
Destruction (See
DAN`
Schedule
vme, etc.)
volume,
Met
examples below')
Source Records —
GS50-09-14
CORE 4.0
Verification of Successful
DM52-06A-01
Various Dates
07-23-18
Secure shred bin
Images (Non-
Rev. 3
Conversion
for outside
Archival)
contractor
(All Case Types)
I shredding
Uniform Notice of
DM52-066-
District &
3 years
Closed May 1—June 30, 2015
07-01-18
Electronic Copy
Infraction, Court
01
Municipal Courts
Deleted
Docket, & Case File
Retention
(infraction)
Schedule — V6
*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 inventoryyiing� the listed records must sign below prior to the Record's Manager approval: � y� ,�+�
Employee Signature Y -i l.�a ��� Printed Name:)CLn i l (a'Yl-5 Division: 1 r n 1 y U r+ -
The Records Manager must sign the approval of this request prior to the destruction of three listed records:
Records Manager Signature: C.r�J Printed Name:41 l✓�VL����� Date Approved:Dd)a
The person/people responsible for the destruction of records must sign upon destruction of the listed records: 1
Employee Signature: Di-�1 iohXyoPrinted Name: �� w i r i K�� Date Records Destroyed: `�
Vendor Business Name (if
Vendor Signature: Printed Name:
Form Revised 05/06/2014
Phone:
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 ��
����' 0/011/1C-111a,l'/
JJ9 � % 1 �//.�
2910 Hogum Bay Rd
Olympia Wa 98516
E -Mail: Ims@wcnx.org
Phone: 1-877-898-0112
Name: CO OP 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: 7/24/2018
Route Id: SN92
Invoice #: 1343197
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
Notes: Acct: 952778-705
Service Description 7 Qty Rate Amount
65SC 2.00 65 GAL SHRED CART G— 3.13
SHEXB 1.00 SHRED EXTRA BOX 3.47
Driver Signature:
Date:
Customer Signature: Date:
Truck
Time