HomeMy WebLinkAboutMUNICIPAL COURT 02/03/2021 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*)
Financial GS2011-184 CORE 4.0 6 years Adjusted January 1—December 31, 2014 01-01-21 Secure shred bin
Transactions- Rev.3 Receipts Report for outside
General contractor
shredding and
Electronic Copy
Deleted
Financial GS2011-184 CORE 4.0 6 years AP Adjustments January 1—December 31, 2014 01-01-21 Secure shred bin
Transactions- Rev.3 Audit Report for outside
General contractor
shredding and
Electronic Copy
Deleted
Financial GS2011-184 CORE 4.0 6 years AP Report January 1—December 31, 2014 01-01-21 Secure shred bin
Transactions- Rev.3 for outside
General contractor
shredding and
Electronic Copy
Deleted
Financial GS2011-184 CORE 4.0 6 years AR Adjustments January 1—December 31,2014 01-01-21 Secure shred bin
Transactions- Rev.3 Audit Report for outside
General contractor
shredding and
Electronic Copy
Deleted
Financial GS2011-184 CORE 4.0 6 years Deleted Cases January 1—December 31,2014 01-01-21 Secure shred bin
Transactions- Rev.3 Audit Report for outside
General contractor
shredding and
Electronic Copy
Deleted
Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
Financial GS2011-184 CORE 4.0 6 years Ledger Summary January 1—December 31, 2014 01-01-21 Secure shred bin
Transactions- Rev.3 Report for outside
General contractor
shredding and
Electronic Copy
Deleted
Financial G52011-184 Core 4.0 6 years Non-Cash January 1—December 31, 2014 01-01-21 Secure shred bin
Transactions- Rev.3 Credit Report for outside
General contractor
shredding and
Electronic Copy
Deleted
Financial GS2011-184 CORE 4.0 6 years Non-Time Pay January 1—December 31, 2014 01-01-21 Secure shred bin
Transactions- Rev.3 Summary Report for outside
General contractor
shredding and
Electronic Copy
Deleted
Financial GS2011-184 CORE 4.0 6 years Overpayments January 1—December 31, 2014 01-01-21 Secure shred bin
Transactions- Rev.3 Activity Audit for outside
General Report contractor
shredding and
Electronic Copy
Deleted
Financial GS2011-184 CORE 4.0 6 years Remittance January 1—December 31,2014 01-01-21 Secure shred bin
Transactions- Rev.3 Summary Report for outside
General contractor
shredding and
Electronic Copy
Deleted
Financial GS2011-184 CORE 4.0 6 years Restitution January 1—December 31,2014 01-01-21 Secure shred bin
Transactions- Rev.3 Adjustments for outside
General Audit Report contractor
shredding and
Electronic Copy
Deleted
Administrative GS50-01-02 CORE 4.0 Destroy when obsolete or Restitution Out- January 1—December 31, 2014 01-01-21 Secure shred bin
Working Files superseded of-Balance Audit for outside
Report contractor
shredding and
Electronic Copy
Deleted
Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
Financial GS2011-184 CORE 4.0 6 years Time Pay January 1—December 31,2014 01-01-21 Secure shred bin
Transactions- Rev.3 Summary Report for outside
General contractor
shredding and
Electronic Copy
Deleted
Financial GS2011-184 CORE 4.0 6 years Check Register January 1—December 31, 2014 01-01-21 Secure shred bin
Transactions- Rev.3 Report for outside
General contractor
shredding and
Electronic Copy
Deleted
Financial GS2011-184 CORE 4.0 6 years Trust Account January 1—December 31, 2014 01-01-21 Secure shred bin
Transactions- Rev.3 Summary Report for outside
General contractor
shredding and
Electronic Copy
Deleted
Financial GS2011-184 CORE 4.0 6 years Daily January 1—December 31, 2014 01-01-21 Secure shred bin
Transactions- Rev.3 Disbursements for outside
General Report contractor
shredding and
Electronic Copy
Deleted
Financial GS2011-184 CORE 4.0 6 years Consolidated January 1—December 31,2014 01-01-21 Secure Shred bin
Transactions- Rev.3 Check Report for outside
General contractor
shredding
Financial GS2011-184 CORE 4.0 6 years Cashier's Report January 1—December 31, 2014 01-01-21 Secure shred bin
Transactions- Rev.3 for outside
General contractor
shredding and
Electronic Copy
Deleted
Collection Agency GS2012-047 CORE 4.0 4 years after end of fiscal Collection January 1—December 31, 2016 01-01-21 Secure Shred bin
Reports Rev.0 year Agency for outside
Statements contractor
shredding
Banking—Accounts GS2011-185 CORE 4.0 6 years after end of fiscal Bank Statements January 1—December 31, 2014 01-01-21 Secure Shred bin
and Transactions Rev.0 year and Checks for outside
contractor
shredding
Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
Banking—Accounts GS2011-185 CORE 4.0 6 years after end of fiscal Merchant Card January 1—December 31, 2014 01-01-21 Secure Shred bin
and Transactions Rev.0 year Statements and for outside
Transactions contractor
shredding
Financial GS2011-184 CORE 4.0 6 years after end of fiscal Receipt Books May 7, 2013—December 9, 01-01-21 Secure Shred bin
Transactions- Rev.3 year 2014 for outside
General contractor
shredding
Banking—Accounts GS2011-185 CORE 4.0 6 years after end of fiscal Deposit Slips December 19, 2013— 01-01-21 Secure Shred bin
and Transactions Rev.0 year (court) December 4,2014 for outside
(parking) December 23, 2013— contractor
December 11, 2014 shredding
Secondary Copies GS50-02-04 CORE 4.0 Retain until no longer L& I Quarterlies January 1,2018—December 01-01-21 Electronic Copy
Rev.2 needed for agency business 31, 2018 Deleted
(Originals sent to payroll)
Source Records— GS50-09-14 CORE 4.0 Verification of Successful DM52-06A-01 Various Dates 01-29-21 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 November 1- 01-01-21 Electronic Copy
Infraction,Court 01 Municipal Courts December 31,2017 Deleted
Docket,&Case File Retention
(All Case Types) Schedule—V6
*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: ��� ) L-t 1IL.(O i"rl") Printed Name:-__ (..tin LU I l 1 1 GZ i.'Y15j Division: 01 On 1 C Z/_ Cc L%14-
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: � 1A Printed Name:jA0 r 4 1 Date Approved: c 0_9
- Form Revised 05/06/2014
City of Bremerton Public Records Destruction Log
The person/people responsible
,for the destruction of records must sign upon destruction of the listed records:` i
Employee Signature: -��Csi LL -n LC)L r 0 fQ n`ZI?Printed Name: ' -3 f LC)i I ) i O ryls 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 G550-09-06.
RECEIVED
JAN 2 8 2021
OFFICE OF THE
CITY CLERK
Form Revised 05/06/2014
Name: CO OP MUNICIPAL COURT BREM R r; RTIFICATE OF DESTRUCTION
Address: 550 PARK AVE_
o ite o FaR iNFNIr
City: BREMERTC 98337
j A A
3o
. Phone: 360-473-5242 /j/ jf /f1r f'//�%/i
Request: RWAUTO O � e/ v-r CERTIFIED
O-,eill ,0
,y7
Account : 2185-952778-705 Service Date: 2/2/2021 Route Id: SN92 Ticket#: 1493387
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 3.57
Driver Signature: 4i.
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