HomeMy WebLinkAboutDispositions Forms_00-00_4/5/2021_Destruction CertificateAll Points Direct Corp
PO Box 1768
Stuart, FL 34995
Phone:772-283-4152
E-mail: dawne@shredwithme.com
Service Information
Village of Tequesta/Public Works
136 Bridge Rd
Tequesta, FL 33469-2714
Contact: Lori
Phone: (561) 768-0443
E-mail: Imcwilliams@tequesta.org
Job Name
Public Works
Job Type PO #
Purge
Item Description
Ibs
Job Notes and Instructions:
MathewB - Mathew Booth - Apr 05, 2021 10:27 AM
120 boxes start at 9:00
Lori561-768-0443
16 bins total
3,200 Lbs.
Customer also had a box of DLT tape's
Invoice #
2129040521
Certificate of Destruction
4/5/2021
Scheduled
Start
End
04/05/2021
9:10 AM
10:40 AM
Quantity
Rate
Amount
0.0000
$0.2500
$0.00
Payment Total: $0.00
Total: $0.00
I/WE HEREBY CERTIFY THAT THE DOCUMENTS LISTED ABOVE HAVE BEEN FULLY AND COMPLETELY DESTROYED ON -SITE BY
SHREDDING ON THE DATE SHOWN PER CUSTOMERS INSTRUCTIONS AND ACCORDING TO FACTA,HIPAA & GLBA REGULATIONS FOR
THE ABOVE MENTIONED COMPANY.
Payment is expected at time of service.
Late payments are subject to 1.5% late fee per month calculated from the day of service.
Returned checks result in a $35 returned check charge.
Signature: x
Lori M