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Marion County <br />OREGON <br />DEPARTMENTOF <br />SOLID WASTE MANAGEMENT <br />388 State S[., Suite 735 <br />Salem, Oregon 97301 <br />Phone(503)588-5169 Fax(503)588-3565 <br />Solid Waste Disposal Receipt <br />.iB.1.:01"i'~Bl::[i" ~'r"'gliY.iE~' ;_~Lcx"ti0ii <br />DATE 1..-,i~.i~~-L'~9; RECEIPTNO. - <br />, c? 74 _S <br />ACCOUNT hi~~rt i:r:i ;;if.,' ~ I• . J~ F <br />VEHICLE ID. ~'~_'' ~`=i1 <br />CATEGORY ~i!-.-i;` '- 'i).. <br />t'U ~F'll~ti-1' ~?I1 - <br />- . ._. i_~Cr._ ~;_r9;. <br />~N ~~r TOTAL <br />TIME _ _ ;-: ;c~4; i ~, • ~_i<: - <br />WT. ".[y <br />YDS. _ • .1c; <br />~l. !_: <br />AMOUNT <br />OTHER CHGS. ' ` "~ ~ <br />OTHER COST ~ ~ ,' <br />TOTAL BILL <br />t : ; t,~-, <br />?+:i ] 1 . -, <br />__L_1 n ~ ~ ~ /~ ~7 S s~ 'i <br />PLEAS~'PRINT NAME <br />_ s/r /J ~~ <br />_ _~_ <br />%/ SIGN HERE <br />~~ lauCS~ <br />Job # A~/./ /_~ ~,~ <br />Location_ _ . , _ .:. <br />___ - ~ . . - . .:,et~ <br />LXi.BTl~1~,[i F'IUlli"S ~7'7 E~ :5yt Qiily 5T7.1. bGr. <br />Tl~ank You <br />