Common use of Certificate of Destruction Clause in Contracts

Certificate of Destruction. The information described below was destroyed in the normal course of business in accordance with the destruction policies and procedures outlined in the associated contract. This is to certify that all records described on this form have been completely destroyed by the individuals below, on the following date and in the following manner. Date of destruction: ___________________________________________________________________ Description of records/data/files disposed of: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Method of destruction: ____Burning ____ Shredding ____ Pulping ____ Demagnetizing ____ Overwriting ____ Pulverizing ____ Other ________________________________ ________________________________ AGO Contract number: _______________________________________________________________ Name of individual doing the destruction: ___________________________________________________ Title of the individual doing the destruction: _________________________________________________ Name of organization the individual represents:______________________________________________ Signature of individual doing the destruction: _______________________________________________ Witness Name: ______________________________________________________________________ Witness Title: ___________________________________________________________________