HomeMy WebLinkAboutMUNICIPAL COURT 02/18/2020 City 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
Description Date Method of
Records Series Title Records Series Records Retention Minimum
Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See
DAN Schedule Re volume,etc.) Meton examples below*)
Source Records— GS50-09-14 CORE 4.0 Verification of Successful DM52-06A-01 Various Dates 02-14-20 Secure shred bin
Images(Non- Rev. 3 Conversion for outside
Archival) contractor
(All Case Types) shredding
Uniform Notice of DM52-06B- District& 3 years Closed January 1-31,2017 02-01-20 Electronic Copy
Infraction, Court 01 Municipal Courts Deleted
Docket, &Case File Retention
(All Case Types) Schedule—V6
Uniform Notice of DM52-06A- District& 3 years Closed January 1-31, 2017 02-01-20 Secure shred bin
Infraction,Court 01 Municipal Courts for outside
Docket, &Case File Retention contractor
(criminal) Schedule—V6 shredding
Uniform Notice of DM52-06B- District& 3 years Closed January 1-31,2017 02-01-20 Secure shred bin
Infraction, Court 01 Municipal Courts for outside
Docket, &Case File Retention contractor
(parking& photo) Schedule—V6 shredding
*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: i
Employee Signature: - t)-f'1 ��( 1 CLrnJprinted Name: 1JQ.LA>l wc1 I ) 1 1 XY �3 Division:r to j CLpq 1 Cot)1T•
The Records Manager must sign the approval of this request prior to the destruction of the listed records:s 3, ttlA . 1 -y/�
Records Manager Signatures IU( Printed Name: C��f 41 ar1t 0 l s o n Date Approved: o V
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
Employee Signature: 1,t AJY1 "L t)(Q-la vV) Printed Name: LA-AA 5 n l a )i I I l aX - O Date Records Destroyed: a-18 D. a
Vendor Business Name(if used): 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
, Name: COOP MUNICIPAL COURT-BREMERTq
RTIFICATE OF DESTRUCTION
Address: 550 PARK AVE Le May Mobile }o Boa i
City: BREMERTC 98337
Phone: 360-473-5242 r a� � ,
Request: RWAUTO ��/ of 0 y / "/ �G ^ CERTIFIED -°1
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Account : 2185-952778-705 Service Date: 2/18/2020 Route Id: SN92 Ticket#: 1438525
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
CUSTOMER COPY
Service Description / Qty 1R tee Amount
65SC 1.00 65 GAL SHRED CART
SHEXB 1.00 SHRED EXTRA BOX 3.57
(FILED
FEB 18 2020
Driver Signature: 6/5 BY MUNICIP4Sla&OURT Truck
Customer Signatu e: j /-/,, Date: Nr-- -) Time
2910 Hogum Bay Rd Olympia Wa 9851i E-Mail: Ims@wcnx.org Phone: 1-877-898-0112 Fax: 1-360-486-2467