HomeMy WebLinkAboutDispositions Forms_00-00_12/18/2025_Destruction Certificate All Points/Shred Monkeys/Secure Shredding Certificate of Destruction
PO Box 1768 12/18/2025
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# Invoice# Scheduled Start End
Purge 2129121825 12/18/2025 8:00 AM 9:10 AM
Item Description Quantity
** Additional Tip- Each additional bin 0.00
PC
Equipment
Serviced Equipment
Return visit req? Return Reason?Dropped off Console Dropped off Bin Pick up Bin Pick up Console
Key drop off
Job Notes and Instructions:
MORNING REQUEST- Public Works/Ground floor
61 Banker boxes& (2) 4-drawer file cabinets
$900 - Includes up to 11 bins
$75 - Each additional bin
Lori 561-768-0443/772-380-8682 - CALL AHEAD
Invoice OSD 12/18
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. BY SIGNING YOU ARE GIVING ALL POINTS DIRECT CORP PERMISSION TO CHARGE THE FORM OF
PAYMENT ON FILE, IF ALTERNATE FORM OF PAYMENT IS NOT RECCEIVED AT TIME OF SERVICE.
Signature: x