Form Number: WDI-Form-004 Revision Date: 04/01/2015 The purpose of this form is to record the amount and type of materials scrapped. This information is used to generate a Destruction Certificate which verifies that the material has been destroyed. This form should be filled out and submitted to Accounts Payable upon destruction of any University property. For questions or more information, please contact accounts payable. Thank you!
| Question | Answer |
|---|---|
| Form Name | Destruction Scrap Certificate Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | letter of destruction sample, sample letter for scrap selling, scrap certificate format, certificate of destruction template |
CERTIFICATE OF DESTRUCTION
AND RECYCLING
TO: COMPANY NAME HERE
RE: (Total Net Weight of) Scrap Metal
This letter will certify to COMPANY NAME HERE that 100% of the recyclable material listed below acquired by Aaron Metals Company will be destroyed and recycled.
ITEM 1
ITEM 2
ITEM 3
I declare under penalty of perjury that the foregoing is a true and correct statement.
Executed at Aaron Metals Company 750 105th Ave Oakland, CA 94603 or 25101 Clawiter Rd, Hayward, CA 94545 and on an ongoing basis.
WEIGHMASTER NAME HERE Deputy Weighmaster Aaron Metals Company 510.5696767 510.732.1200 www.aaronmetals.com