HomeMy WebLinkAboutMUNICIPAL COURT 06/21/2021 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 Title Records Series Records Retention Minimum Retention Period (Box/Item numbers, Dates Covered Minimum 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 6-18-21 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 April 1— May 31, 2018 6-01-21 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 April 1— May 31, 2018 6-01-21 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 April 1— May 31,2018 6-01-21 Secure shred bin
Infraction,Court 01 Municipal Courts for outside
Docket,&Case File Retention contractor
(parking&photo) Schedule—V6 shredding
Uniform Notice of DM52-06B- District& 3 years Closed January 1— December 1-01-19 Secure shred bin
Infraction,Court 01 Municipal Courts 31, 2015 for outside
Docket,&Case File Retention contractor
(DV Cases) 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
pthe
�listed records must sign below'prior( � to the Record's
Managert approval: (��, 1
Employee Signature: fQ .JJr7 t.VLlIiL�L.Q,n'Y10 Printed Name: _IiII LU31') w� M + I a-Y'5 Division: ) y !Uf 1C,tp&` COLUrt
The Records Manager must sign the approval of this request prior to the destruction of the listed records: /Y,�
Records Manager Signature: C n 'st Printed Name: `9-C ` G\ Hoo f L� �.Date Approved: I 9 i pn`— i
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:
Employee Signature: -W - 1,0Lnp:.IQIW) Printed Name: D Ax.i ' ) Lk) f )CZYYI Date Records Destroyed: a� 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-BREMERTTIFRTIFICATE OF DESTRUCTION
Address: 550 PARK AVE Le /� • ACity: BREMERTC 98337Ph Mac' Mobile W'''0,
� NF .
Reouest: RWAUT0ne: 242j/ i /y / ff�/ /% f /q , % i % jj .47
CERTIFIED
"
cep.:,. vo`'/
Account : 2185-952778-705 Service Date: 6/22/2021 Route Id: SN92 Ticket#: 1515662
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
CUSTOMER COPY
Service Description 1Qty Rate Amount
65SC 1.00 65 GAL SHRED CART 12.88
SHEXB 1.00 SHRED EXTRA BOX 3.57
FI
JON22 711
BY MU� CO..7
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