HomeMy WebLinkAboutDispositions Forms_00-00_7/6/2023_Destruction CertificateAll Points / Shred Monkeys
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: (772) 263-0017
E-mail: Imcwilliams@tequesta.org
Job Name
Public Works
Job Type PO # Invoice # Scheduled
Purge 2129070623 2023-07-06
Item Description Quantity
"' 1 st Tip -PC 1.0000
Equipment
Serviced Equipment
Job Notes and Instructions:
68 boxes $110/60
Lori 772-263-0017
OSD 7/6
Certificate of Destruction
7/6/2023
Start End
10:05 AM 11:05 AM
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.
Signature: