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An Affidavit of Destruction or Mutilation is a sworn, written statement declaring that a document has been destroyed or mutilated. A document does not have Certificate of Destruction. The information described below was destroyed in the normal course of business in accordance with the destruction policies and I declare that I have lost certificate ______ for ______ Share(s). Mark the box only if you have This document MUST be sworn before a Notary Public. Affidavit of Witness for. Destruction of Election Materials. Local Authorities Election Act I witnessed the destruction of the content of the ballot. Sample Certificate of Destruction. Facility Name. The information described below was destroyed in the normal course of business pursuant to a. and astonish the renewal fee. Affidavit of Lost Stolen or Destroyed Stock. Certificate Template Document description Related documents 1900 Templates.52-042. AFFIDAVIT CONFIRMING DESTRUCTION OF PROTECTED INFORMATION. This affidavit is submitted pursuant to Paragraph 7 of the August 26, 2011 Atomic Safety. Facility Name. The information described below was destroyed in the normal course of business pursuant to a proper retention schedule and destruction