HomeMy WebLinkAboutMUNICIPAL COURT 12/19/2019 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
Date
Records Series Records Retention Description Minimum Method of
Records Series Title Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See
DAN Schedule Retention
volume,etc.) Met examples below*)
Source Records— GS50-09-14 CORE 4.0 Verification of Successful DM52-06A-01 Various Dates 12-23-19 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 October 1—November 12-01-19 Electronic Copy
Infraction,Court 01 Municipal Courts 30, 2016 Deleted
Docket,&Case File Retention
(All Case Types) Schedule—V6
Uniform Notice of DM52-06A- District& 3 years REC EIVED Closed September 1—October 11-01-19 Secure shred bin
Infraction,Court 01 Municipal Courts 31, 2016 for outside
Docket,&Case File Retention DEC 2 6 2019 contractor
(criminal) Schedule—V6 shredding
Uniform Notice of DM52-06B- District& 3 years City of remerton Closed September 1—October 11-01-19 Secure shred bin
Infraction,Court 01 Municipal Courts RE EI tUy 31, 2016 for outside
Docket,&Case File Retention contractor
(parking) Schedule—V6 shredding
Uniform Notice of DM52-06B- District& 3 years DEC Z 6 2019 Closed September 1—October 11-01-19 Secure shred bin
Infraction,Court 01 Municipal Courts 31,2016 for outside
Docket,&Case File Retention OFFICE OF THE contractor
(photo Schedule—V6 shredding
enforcement) CITY CLERK
*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 respon ' e o inve t ying the t d records must sign below rior to the Record's Manager approval: c� _
Employee Signature: Printed Name: �{�,/�fJ 1'(� aw.t1/43cApprc_� - �` Division: `J�^'i,"�J'!
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: I Printed Name: t�'I ; �� jOO /e_-I Date Approved: 1 0Q
// /0‘1
Form Revised 05/06/2014 t�
City of Bremerton Public Records Destruction Log
.The person/people responsible for the destructionn/off records must sign upon destruction of the listed records:
Employee Signature: 1 y [J ISC 0.4 it r/1Printed Name: uU r. W 1 � / ( �1� Date Records Destroyed: I ��
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: CO OP MUNICIPAL COURT-BREMER->qRTIFICATE OF DESTRUCTION
Address: 550 PARK AVE
City: BREMERTC 98337 Le Play 10 Ili
a
Phone: 360-473-5242 4/j , j j � � �i\
Request: RWAUTO
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Account : 2185-952778-705 Service Date: 12/24/2019 Route Id: SN92 Ticket#: 1429134
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 I 12.88
SHEXB 1.00 SHRED EXTRA BOX 3.57
Driver Signature: Date: Truck
Customer Signature: Date: Time
2910 Hogum Bay Rd Olympia Wa 98516 E-Mail: Ims@wcnx.org Phone: 1-877-898-0112 Fax: 1-360-486-2467