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Le May Mobile 1 CERTIFICATE OF DESTRUCTION
Shreddino
2910 HogumBd Olympia Wa 98E-Mail: Ims@wcnx.org o
v�%%///%//%/////%%/%%%/%///%/%%%/%%/%%%/%/%%/%// Phone: 1-877-898-0112 CERTIFIED�j
Name: CO OP CITY OF BREMERTON-STORAGE UNI' Fax: 1-360-486-2467 �o ��Address: 3027 OLYMPUS DR i`bN 111-1
$
City: BREMERTON , 98310 ''::•-'
Phone: 360-473-2316 Account : 2185-952778-934 Route Id: TSP1
Request: CHRIS-MR-ST 1, Invoice Date: 3/13/2017 Invoice#: 1261590
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
Notes: 03/13 PURGE 240 BOXES $33.30 PER 95 GAL OK TO BILL CALL 30 M "....; FORE ARRIVAL THIS
IS A STORAGE UNIT HOURS 7:30-4
Service Description . 0y,�j Rate Amount
SHPURGE 1.00 SHRED ONE TIME PURGE - 33.30
[S-
A
Driver Signature: Date: Truck
Customer Signature: Date: I 'J Time
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