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Marion County <br />OREGON <br />- DEPARTMENT OF <br />SOLID VyASTE 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 />Sa1em-I:eizer l'ransfer~ Si;ation <br />DATE '~~'~~'~i~ ~ i 39 ~ RECEIPT NO. ~7~3~39 <br />ACCOUNT M~~ Cp MA1NT. - GEt~ERRL <br />VEHICLE ID. ACT#fi <br />CATEGORY GU (PUBf.~IC RRTEi lF[5 <br />1~1 `;f3N c <br />9 TOTAL <br />T <br />1 <br />° <br />TiME ' ? :V~] <br />~'~i <br />WT. L 340 ~~ 4-n~ 1].vV~ <br />YDS. ~~' ~ <br />AMOUNT G ~+fl. C~k <br />OTHER CHGS. k ~ • ~ ~ <br />OTHER COST <br />TOTAL BILL 5 l '~'~'t~~~ <br />' <br /> Ri <br />17'ed <br />~~6 v~~~ ~ ~~ <br />~ ~ PLE SE PRWT NAME <br />~ ~ SIGN HERE <br />D i5~'~/~" y <br />Job # /~r/~/~X il°~ ~~' S <br />Locatio,r~E~se do not pay i'rom this ticket!, <br />-~xtended Hcitirs FrS. 8 Sac OnJ.y 't:il. E,F'P - <br />Tlzank You <br />