HomeMy WebLinkAboutMUNICIPAL COURT 09/24/2018City 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
Description
Minimum Retention Period (Box/item numbers,
Dates Covered
Date
Minimum
Method of
Destruction (See
DAN
Schedule
volume, etc.)
Retention
examples below*)
Met
Source Records —
GS50-09-14
CORE 4.0
Verification of Successful DM52-06A-01
Various Dates
09-18-18
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 July 1— August 31, 2015
09-01-18
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 responsibleefi
for inventorying the listed records must sign below priorto
the Record's Manager approval: � 1
Employee Signature: _ n A i'�`1'� ��� ��141'arinted Name: +_ll. C �yi 1 LL i I 11'0- V_ _) ya
Division: i 1 or-) 1 r I i-)aT
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: Ca Vy ' b Printed Name: ftrDate Approved:
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
�� ! i ci-1�� "/ 4-
Employee Signature: 1 ) ti i vY� �L. &�C1 fY1/printed Name: _DCL IL F) t ) I Ci 1 �7T Date Records Destroyed:
Vendor Business Name (if u
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 GS50-09-06.
Form Revised 05/06/2014
Le MoMobile► CERTIFICATE OF DESTRUCTION
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// ��, � � 2910 Hogum Bay Rd
/% �� f%%�j% � j j j Olympia Wa 98516
1/%r. % U G/ �0I%IF/ 1 E-Mail:Ims@wcnx.orgLn
%// Phone: 1-877-898-0112
Name: CO OP MUNICIPAL COURT-BREMERTON Fax: 1-360-486-2467 �o
Address: 550 PARK AVE
City: BREMERTON , 98337 07
Phone: 360-473-5242 Account: 2185-952778-705 Route Id: SN92
Request: RWAUTO Invoice Date: 9/18/2018 Invoice #: 1352220
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
Notes: Acct: 952778-705 SERVICE CONTAINER
Service Description Qty Rate Amount
65SC 2.00 65 GAL SHRED CART �-
3.22
SHEXB 1.00 SHRED EXTRA BOX 3.57
Driver Signature:
Customer Signature:
Date:
Date:
Truck
Time