HomeMy WebLinkAboutMUNICIPAL COURT 06062022 • 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 volume,etc.) Re1Metion examples below*)
Source Records— GSSO-09-14 CORE 4.2 Verification of Successful DM52-06A-01 Various Dates 06-06-22 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, 2019 06-01-22 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, 2019 06-01-22 Secure shred bin
Infraction, Court 01 Municipal Courts for outside
Docket, &Case File Retention contractor
(criminal) Schedule—V6 shredding
Public Disclosure GS2010-014 CORE 4.2 2 years after fulfillment 2011-2019 01-01-22 Secure shred bin
Requests Rev.3 for outside
contractor
shredding
Correspondence GS2010-001 CORE 4.2 2 years after communication January 1, 2017—January 13, 01-14-22 Secure shred bin
Rev.3 2020 for outside
contractor
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: 1
Employee Signature: 1 ) -� ( (�L.Q A CL4' l. ) Printed Name: �,��'1 LA)1 I )Q,rY)5 Division: l�i'1i C ( G (,)r'(
The Records Manager must sign the approval of this ireq�uAest prior to the destruction of the listed
,records:
,
Records Manager Signature;T1 ) D �l.J(,JW '1/) Printed Name: _ n w I 1 1 Q-m5 Date Approved: Lo' LO-
Form Revised 05/06/2014
CERTIFICATE OF DESTRUCTION
Name: CO OP MUNICIPAL COURT-BREMERTON
Le P.4oy fIlobile u�.°aF°a f ,�, p
Address: 550 PARK AVEj, j o z
City: BREMERTON 98337 ��i 7, %r'%' %i / CERTIFIED E
Phone: 360-473-5242 �/4/ i�i of ,
Request: Scheduled On Call %/%%%///%////////////////%///%/%%/////%//////%//%/ %%G p� \,�
�a� �o
Account : 2185-952778-705 Service Date: 6/7/2022 Route Id: SN92 Ticket#: 1582000
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
CUSTOMER COPY
Service Description ! Qty �Ratte Amount
65SC 1.00 65 GAL SHRED CART
SHEXB 1.00 SHRED EXTRA BOX 3.78
Driver Signature: ///X 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