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Le Mcvi Mobile CERTIFICATE OF DESTRUCTION
Name: CO OP MUNICIPAL COURT-BREMERTON folk /hip ,
ShrerJcJIAo Address:City: BREMERTON 98337 Phone: 360-473-5242
%r"3471""7"7":"" % Request: RWAUTO R T 1 F 1 R
t Or e
Account : 2185-952778-705 Service Date: 7/9/2019 Route Id: SN92 Ticket#: • 1401426
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions.
Notes: Acct: 952778-705 ADDITIONAL PARKING IN ALLEY
Service Description Qty Rate Amount
65SC 2.00 65 GAL SHRED CART 12.88
SHEXB 1.00 SHRED EXTRA BOX 3.57
Driver Signature: /25(--‘) 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