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L e May Mobile CERTIFICATE OF DESTRUCTION
i i j FOR INF
r j j j,� 2910 Hogum Bay Rd °
/,%1%7 r/ Olympia Wa 98516 �P�° � I
% % %% %///%%% r,/ E-Mail: Ims@wcnx.org 8 94
%%/L Phone: 1-877-898-0112 CERTIFIED &
Name: CO OP BREMERTON PARKS Fax: 1-360-486-2467
Address: 680 LEBO BLVD (4- °`y°c
v
Cit : BREMERTON , 98310 ti `'
Phone: 360-473-5305 Account : 2185-952778-926 Route Id: SN92
Request: CORRINE-KS-MR Invoice Date: 2/26/2019 Ticket#: 1378513
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
Notes: 02/26 PURGE 10 BOXES $35.70 PER 95GAL HOURS 8-5 OKAY TO BILL CALL 30 MINS BEFROE
ARRIVAL
Service Description % Qtv Rate Amount
95SC 1.00 95 GAL SHRED CART 35.70
SHEXB 1.00 SHRED EXTRA BOX 3.57
Driver Signature: -v
Date: Truck
Customer Signature: A,/y /lJL L —. Date: 272101 )q Time