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Marion County <br />_._ .__O..R:E G O N <br />DEPARTMENT OF <br />SOLID WASTE MANAGEMENT <br />388 State St., Suite 735 <br />Salem, Oregon 97301 <br />Phone (503) 588-5169 Fax (503) 588-3565 <br />Solid Waste Disposal Receipt <br />Salem-lieiaer Tr•ansfer~ Station <br />DATE 17-J~..in--1997 RECEIPTNO. ~~~~,k~ <br />ACCOUNT (r~q~, r.n MATfJI". - GENERRL <br />VEHICLE ID. ACT# CRD~ <br />CATEGORY F~U (F'IJPLIC R(;TE ) Q~66,°, 094Q <br />IN OUT TOTAL <br />TIME 14:41 : ic~ 14:44: 00 <br />WT. 57E,~1 :~40~ 36~ <br />YDS. ~, q <br />AMOUNT y, j E, ~~ r <br />OTHER CHGS. ~ ~e ~~ <br />OTHER COST <br />TOTAL BILL ~ 1E. ~~ ` <br /> Dilled <br />71~ VC7~ vl,Sa ~ <br />~~ PLEASEpRINTNAME <br />// <br />~ <br />..~ _~_zr-- <br />SIGN HERE <br />Job # ~ i/i/ ~'X <br />