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-----•.....,.,... <br />~. ~ ^ " ~; <br />Mar~on ~unt <br />OREGON ~ <br />DEPqRTMENT OF <br />SOLID WqgTE MANqGEMENT <br />555 Court St. N.E. 5th Floor <br />P.O. Box 1450p Salem, OR 97309-5036 <br />Phone (503) 588-5169 Fax (503) 588-3565 <br />Solid Waste Disposal Receipt <br />a.,, <br />:~a:,_ ,, <br />,:° ~.zr- ?'y-r~r~ j~ f r:~,- _ t ,. <br />?. Li )"y <br />~aTE ~~ ,_~ _.~,.;:::,~._..r:::v,~{~ ~ <br />RECEIPT NO. 1~! f;~~ ° r:- <br />~ ~.._~~~ <br />ACCOUNT ~r ~~i* d:~ (:) z= (-1C :~ t_ :~"$'.~, ~1~::~r~1f .; <br />VEHICLE ID ~~ , ' ;? > F'~ i._ <br />CATEGOR`i' ~ `' ~ ~: €=~ F._t Z~ 4._ T ~.. F2i"I TE:" i ~,~.~ ~ _~ .:~~ t ~' `~E5 #E <br />~r. t.., r,-, ,,:, i,"~ `'w ::;':v <br />IN <br />71ME ~.~::: 4'~ :~:',"? l. `J a 3r~ OU~ TO <br />. ; TAL <br />wr. :~ ::~-%~:-~~,~ . <br />Y~S. a? , •r i : !'S ~~"•.; ~G~ ~. <br />1~f ~ r'{fi~ <br />AMOUNT ~/,C'~..~)/~ ~ <br />OTHER CHGS. ~~ ~~ r.:~~„ :~~~,~, <br />07HER COST _~ ~ C~ ~ ~l~ti ?;.r,;'.~ <br />TOTAL gIL~ ,,`°~ ~ '~""' <br />, , ~.. ,,-~~ <br />/ `~ L; ~4.'~ ~ 1~ t :'~ <br />j ~. <br />r\``• < `, ' f •'/~ ' ~~. <br />/ ,, ~ ~s ~. .). l. ~~ r.1 <br />--,.,.- ~_ f ~~ , ~~~.,~ <br />` , SIGN HERE <br />~ <br />Job # _.~'% ~'_~~_ (~ <br />~ ~ ~ ,,~. <br />J <br />Location -~ <br />., <br />~_. _ .3: ~ <br />_ ;,;., ~ <br />~1 :~ F" ;:: o_~ p~ F~ rJ ~ <br />, {~:.i!j ~~ ~ ~, <br />f~'° S 1', <br />1 ; r 'r i.'r <br />Thank You <br />