HomeMy WebLinkAboutMUNICIPAL COURT 02/20/2020 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 Records Retention Minimum
Records Series Title DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention Destruction(See
volume,etc.) Met examples below*)
Source Records— GS50-09-14 CORE 4.0 Verification of Successful DM52-06A-01 Various Dates 02-02-20 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 December 1-31, 2016 01-01-20 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 December 1 31, 2016 01-01-20 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:
•
Employee Signature: *A(Lm W)'�/ _ rIL) Printed Name: Tat,(.r7 l A)i 1 I I GCYY"L5 Division: m1)11 I r'1 COL)l QO r-L-
The Records Manager must sign the approval of this request prior to the destruction of St
liste+d_records: -yam
Records Manager Signature: !/�/ Printed Name: ( }��Y1 Up'l( 81� Date Approved: )'
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The person/people responsible for the destrulrtion of records must sign upon destruction of the listed records:
Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
Employee Signature: -ni.1 t -Li ° ) Printed Name: LC)i ) 1 1 Q r r Date Records Destroyed: a- Li-DC`�U
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-BREMER rIRTIFICATE OF DESTRUCTION � �
Address: 550 PARK AVELe May ��°� a �
City: BREMERTC 98337 Mobile v o
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Phone: 360 473 52 ,��
Request: RWAUTO y&/ � " �vt
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Account : 2185-952778-705 Service Date: 2/4/2020 Route Id: SN92 Ticket#: 1436027
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
CUSTOMER COPY
Service Description Qty Rate Amount
65SC 1.00 65 GAL SHRED CART / 12.88
SHEXB 1.00 SHRED EXTRA BOX ` ik'C ID 3.57
c 4 2020
1PB
At- 0011
Driver Signature: r— �1 '�` r Date: Truck
Customer Signature. (/.1 Date _ y-,},L.,Ime
2910 Hogum Bay Rd Olympia Wa 98516 V J/'EMail: Ims@wcnx.org Phone: 1-877-898-0112 Fax: 1-360-486-2467