2021/04/29 Certificate of DestructionC ertfficate of D estruction
Paper Recycling Shredding Specialists, Inc.
l39l E. Mission Blvd, Pomona, CA 91766
Receipt of this Certirtcak guoranlees that all records documenls receivedfrom
Inland Valley Retina- Mendee
located at:
29798 Haun Rd. #200
Menifee, Co 92586
by Paper Recycling Shredding Specialists, Inc. was shredded at the address noted on lhis certificate
In oddition, the Customer acknowledges that they were given the opportunity to witness
the destruction of their paper, by the on-site shredding process.
4t29t2021
Authorized Signature Dole
Item description of products shreddedCustomer Acknowledgement
Customer Printed Name
Security containers
Boxes
t-t Executive Security Consoles
Anival time Departure time W eighl fu he n aPp I ica b le)
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