As has been said, using an ERM solution, you can be confident that the 
electronic record has been destroyed.  You will also need to confirm that the 
record no longer exists on backup media for the system.  Identify the schedule 
for recycling of the backup media.
An issue is can you confirm that no renditions of that electronic record were 
made - a printed copy, the file copied to a local, network or other drive, or 
that the file was not sent somewhere as an attachment to an email, instant 
message, etc.  This is much more difficult.
A watermark could be added to a printed copy, such as: convenience copy, 
so that the staff understand that the paper copy should be destroyed when 
no longer needed.

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