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Mobile CERTIFICATE OF DESTRUCTION
ESTRUCTION
ii//„ / �%����� 2910 Hogum Bay Rd
rrvfi
% ij %, ! Olympia Wa 98516 '�
i%///%////,/%/%/1/%/////% /%%%///////%///f/ E-Mail: Ims@wcnx.org
1-877-898-01112
Name: CO OP POLICE-BREMERTON CEFtT1F1Et�}
Address: 1025 BIJRWELL ST Fax: 1 360 486 2467 e.y
City: BREMERTON 98337 4 111 t�.,
Phone: 360-473-5974
Request: MS-KEVIN Account x2185-952778-700 Route Id:
Invoice Date: 6/25/2019 Ticket#: SN92
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instruction
3968S3
Notes: 6/25 SERVICE CONTAINERS HOURS 8-5 #360-473-5480 s
Service Description
SHEXB 1.00 SHRED EXTRA BOX Qty Rate Amount
65SC 9.00 65 GAL SHRED CART 3.57 ----
3.22 --
4111,
Driver Signature:
�,� Date: Truck
Customer Signature: 'A
Date: ‘ 0`__ Time