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CERTIFICATE OF DESTRUCTION
OFF/ 1 2910 Hogum Bay Rd Fo
F
'�e'�/'��%�//��/Olympia Wa 98516 oP
P111 WOO F� y11% % % � E -Mail: Ims@wcnx.orgLn
/%1,01'x//////%/%////%%/ VOW Phone: 1-877-898-0112
Name CO OP MUNICIPAL COURT-BREMERTON Fax: 1-360-486-2467
Address: 550 PARK AVE
City: BREMERTON 98337
Phone: 360-473-5242 Account: 2185-952778-705
Request: RWAUTO Invoice Date: 1/23/2018
Route Id:
Invoice #:
SN92
1313205
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
Notes: Acct: 952778-705
Service Description Z Qty Rate Amount
65SC 2.00 65 GAL SHRED CART 3.13
SHEXB 1.00 SHRED EXTRA BOX 3.47
Driver Signature: Date: Truck
Customer Signature: _a)alj� W J 0A ('j ,.yam n Date: Time