HomeMy WebLinkAboutMUNICIPAL COURT 12/28/2020 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 12-21-20 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 July 1— October 31, 11-01-20 Electronic Copy
Infraction,Court 01 Municipal Courts 2017 Deleted
Docket,&Case File Retention
(All Case Types) Schedule—V6
Uniform Notice of DM52-06A- District& 3 years Closed July 1—October 31, 11-01-20 Secure shred bin
Infraction,Court 01 Municipal Courts 2017 for outside
Docket,&Case File Retention contractor
(criminal) Schedule—V6 shredding
Uniform Notice of DM52-06B- District& 3 years Closed July 1-October 31, 11-01-20 Secure shred bin
Infraction,Court 01 Municipal Courts 2017 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
llisted
records must sign below prior to the Record's Manager approval: (�
Employee Signature: 'ry (�J j�t�CCt ►Y�jfrinted Name: 1 )(�,Lt 1 � 1 1 t ) O.r r-)c Division: fl'11 >l 1 �' l .�-Da0 CC)i( !'
The Records Manager must sign thea
approval of this request prior to the destruction of the listed records:
Records Manager Signature: i • de Printed Name: iinciejak..... 4 (.00 Y Date Approved: I 04QF
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: =)Ctt,c7-) 'LL.`t.( CL}-r N,7 Printed Name: "J�i l&)t'1 Lam)i) )i i 7-15 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
AngimalmimINIMMIIIMIIIIMIE
` Name: CO OP MUNICIPAL COURT-BREMERTTIV RTIFICATE OF DESTRUCTION
Address: 550 PARK AVE LeIVIciy
Mile ��o
City: BREMERTC 98337 �r
"4 7 % % - ' A A A °2
Phone: 360 473 5242 / / /f/ ///�f ////�� ,� 0
Request: RWAUTO j%�% � i/�j %, % `> TiF1EC�
Account : 2185-952778-705 Service Date: 12/22/2020 Route Id: SN92 Ticket#: 1486994
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
CUSTOMER COPY
Service Description tQty Rate Amount
65SC 1.00 65 GAL SHRED CART 12.88 _
SHEXB 1.00 SHRED EXTRA BOX 3.57
FIL
DEC 2 1 2020
BY
MUNICIPAL COURT
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