CERTIFICATE OF DESTRUCTION
The information described below was destroyed in the normal course of business pursuant to the organizational retention schedule and destruction policies and procedures.
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Description of Information Disposed Of/Destroyed:
Inclusive Dates Covered:
METHOD OF DESTRUCTION:
‰ Burning
‰ Overwriting
‰ Pulping
‰ Pulverizing
‰ Reformatting
‰ Shredding
‰ Other:
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_
Records Destroyed By*:
If On Site, Witnessed By:
Executive Director:
*If records destroyed by outside firm, must confirm a contract exists
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