HomeMy WebLinkAboutDispositions Forms_00-00_9/16/2021_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
345 Tequesta Dr
Tequesta, FL 33469-3062
Contact: Lori
Phone: (772) 263-0017
E-mail: Imcwilliams@tequesta.org
Job Name
Public Works
Job Type
Purge
PO # Invoice #
2129091621
Item Description
Ibs
Media Destruction DLTAPES
Job Notes and Instructions:
50 boxes min chrg Lori is the contact 772-263-0017
No CC on File
Certificate of Destruction
9/16/2021
Scheduled
Start
End
09/16/2021
8:00 AM
8:30 AM
Quantity
Rate
Amount
990.0000
$0.2500
$ 247.50
1.0000
$0.0000
$ 0.00
Payment Total: $ 0.00
Total: $ 247.50
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 0