Records Destruction Certificate 2014\� SERVICE RECORD
CERTIFICATE OF DESTRUCTION
(THIS IS NOT AN INVOICE)
Customer: 12144642
City Of La Quinta Page: 1 of 1
78495 Calle Tampico Order #: 8013071551
LA QUINTA CA 92253-2839 Order Date: 11/07/2014
USA
This year your firm has saved 5.92 trees through recycling shredded paper.
CSR: cc Truck #: CA10-01.445 Time In: Time Out: Total Services
Time: Q�
Additional Charges: `
Autmomatic Total Container Inventory: QTY Serviced:
service:
Extra Material: Container Type: QTY:
Purge Service: Requested Type: Bankers/Archive QTY: 1.000 Actual
Equipment
Maintecnancc3:
Box QTY:
Service Type: QTY:
Customer Signature:
Customer Print Name:
ReceF.ved on :4c.ount: $
NA = Not Accessihle
NF = Nnt Fminel at 1 nvatinn
CSR Signature:
❑ Cheque / Check No.:
NA NF
Container Type
Serial No.
Location
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\\ SERVICE RECORD
CERTIFICATE OF DESTRUCTION
(THIS IS NOT AN INVOICE)
Customer: 12144642
City Of La Quinta Page: 1 of 1
78495 Calle Tampico Order #: 8013071551
LA QUINTA CA 92253-2839 Order Date: 11/07/2014
USA
This year your firm has saved 5.92 trees through recycling shredded paper.
CSR: Truck #: CA10-01445 I Time In: Time Out: Total Services Qb
Time:
Additional Charges:
Autmomatic Total Container Inventory: QTY Serviced:
service:
Extra Material: Container Type: QTY:
Purge Service: Requested Type: Bankers/Archive QTY: 1.000 Actual
Equipment
MaintevAnr.
Box QTY:
Service Type: QTY:
Customer Signature:
Customer Print Name:
lReceFvsd on kc<.ount: $
NA = Not Acno;-mible
NF = Nnt Fmind nt 1 nentinn
CSR Signature:
❑ Cheque / Check No.:
NA, InIF � Container Type
Serial No.
Location
t
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