HomeMy WebLinkAboutMUNICIPAL COURT 09/25/2018City 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 Trtle
Records Series
Records Retention
Minimum Retention period
Description
(Box/Item numbers,
Dates Covered
Date
Minimum
Retention
Method of
Destruction (See
DAN
Schedule
volume, etc.)
Met
examples below*)
Source Records —
GS50-09-14
CORE 4.0
Verification of Successful
DM52-06A-01
Various Dates
09-24-18
Secure shred bin
Images (Non-
Rev. 3
Conversion
for outside
Archival)
contractor
(All Case Types)
shredding
Uniform Citation,
DM52-06A-
District &
3 years
Closed July 1—August 31, 2015
09-01-18
Secure shred bin
Complaint, Court
01
Municipal Courts
for outside
Docket & Case File
Retention
contractor
(criminal)
Schedule—V6
shredding
Uniform Notice of
DM52-06B-
District &
3 years
Closed May 1—June 30, 2015
07-01-18
Secure shred bin
Infraction, Court
01
Municipal Courts
for outside
Docket, & Case File
Retention
contractor
(Parking)
Schedule — V6
shredding
Uniform Notice of
DM52-06B-
District &
3 years
Closed May 1—July 31, 2015
08-01-18
Secure shred bin
Infraction, Court
01
Municipal Courts
for outside
Docket, & Case File
Retention
contractor
(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 listed records must sign below prior to the Record's Manager approval:
Employee Signature.-, Ct 1 L F7'1 � ! L' t CL i,' -v )t_ �
_ Printed NaName: _Dft I l ' Y__) L0 I 1) � } --)5 Division:
The Records Manager must sign the approval of this request rior to the destruction of the listed records:
Records Manager Signature: Printed Name: 0 ej CA 1A DCJ l c
Date Approved:l i
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:
f'
Employee Signature: z'Y) Ll �CX�1��1�. ryyl Printed Name: pJ CL A-) � -j L�-) I 1 1 CL cr)S Date Records Destroyed:
Vendor Business Name (if used):
Vendor Signatu
Form Revised 05/06/2014
Printed Na
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 GS50-09-05.
Le MoMob le CERTIFICATE OF DESTRUCTION
NO 2910 Ho um Ba Rd /NA oR
r
��/Olympia Wa 98516 %///%�� ����!//,jam �''i
%%/�,�///�%l//!////�%%O///�, / EAA
-Mail: Ims@wcnx.org 2'1
Phone: 1-877-898-0112
Name: COOP ATTORNEYS OFFICE-BREMERTON Fax: 1-360-486-2467 ,
Address: 345 6TH ST #600 to `
City: BREMERTON , 98337
Phone: 360-473-2345 Account: 2185-952778-697 Route Id: SN92
Request: RWAUTO Invoice Date: 9/25/2018 Invoice #: 1353350
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
Notes: Acct: 952778-697 SERVICE CONTAINERS. 5TH FLOOR TO RIGHT. DOOR CODE 1739#
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:
L
� Date:
Date:
Truck
Time