HomeMy WebLinkAboutMUNICIPAL COURT 10/30/2018City 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
Method of
Destruction (See
DAN
Schedule
volume, etc.)
Retention
examples below*)
Source Records —
GS50-09-14
CORE 4.0
Verification of Successful
DM52-06A-01
Various Dates
10-15-18
Secure shred bin
Images (Non-
Rev. 3
Conversion
for outside
Archival)
contractor
(All Case Types)
shredding
Uniform Notice of
DM52-066-
District &
3 years
Closed September 1— 30, 2015
10-01-18
Secure shred bin
Infraction, Court
01
Municipal Courts
for outside
Docket, & Case File
Retention
contractor
(criminal)
Schedule—V6
shredding
Uniform Notice of
DM52-066-
District &
3 years
Closed September 1- 30, 2015
10-01-18
Secure shred bin
Infraction, Court
01
Municipal Courts
for outside
Docket, & Case File
Retention
contractor
(parking)
Schedule — V6
shredding
Uniform Notice of
DM52-0613-
District &
3 years
Closed September 1— 30, 2015
10-01-18
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: _-4D211`l"1 :L(2 dL SCI i 11J Printed Name: ��C 1 l_l 1 l �- i l 1 G1 3 7 �`, Division: J�1 f 1i / C i _1.7c )J G-` L
The Records Manager must sign the appro al of this requ st prior to the destruction of the listed
records:
o
Records Manager Signature: 5 Printed Name:Date Approved:
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
�C
Employee Signature �1✓L�YI L� l J`11--1 rinted Name: (�� YZ (�� i �' 1 } 1lS Date Records Destroyed:
Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
Vendor Business Name (if used): Phone:
Vendor
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 G550-09-06.
�. Le Mou Mobile CERTIFICATE OF DESTRUCTION
�re� r1
�i ,, 2910 Hogum Bay Rd
��,.0 '/ %% 1la �% % ! /`% Olympia Wa 98516
P/ / � y� � 1 f% m % /j% 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 Route Id: SN92
Request: RWAUTO Invoice Date: 10/30/2018 Invoice #: 1359173
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
Notes: Acct: 952778-705 SERVICE CONTAINER
Service Description
65SC 2.00 65 GAL SHRED CART Z Qty Rate Amount
SHEXB 1.00 SHRED EXTRA BOX 3.22
3.57
Driver Signature: Date: Truck
Customer Signature: Date: Time