HomeMy WebLinkAboutP-QExemption year:
20 id
PRIVATE HAULER GARBAGE EXEMPTION APPLICATION
RESIDENTIAL CUSTOMERS ONLY
CITY OF WATERLOO, IOWA
Date
)17
Applicant's Name:
]� LLC
Pti- �IVIE(Z -- LIE(G14 PI FEZ L5 Telephone No . 319 -56i -257E_
Billing Address: 75- 4.0.0��
4*
Address of Exemption: YaAM, AND 1( f3LAIC PAUJI<R0OOD Ldii- i LLCo
Water --Works Account -No-.: 6Q- 2-01-t._113-316'ZI_ D +Au- fz.y)
So— ect (5--OL17S38 (tiz 1t 0:1))
I -request an exemption from Garbage Fees during the current Calendar Year.
employ the services of a licensed trash hauler. Only the location where the
trash hauler picks up garbage and trash will qualify for the exemption.
Apel Signature
ica 's
TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER:
(We) 1AOLOLIABILafwGAt‘A'SIDsoQ
Company Name
hereby declare that we are
a licensed trash hauler in the City of Waterloo, Iowa, and that we pick up
garbage and refuse at the following location:
Beginning Ending
Address Location of Date of Date of
Customer's Name Garbage/Trash Pick -Up Contract Contract
P10.1 r t LC7 - gyp . 1211 MI Ric 1C. PrgWU i261 1-1-7
CONTRACT PERIOD MUST COVER AT LEAST CURRENT CALENDAR YEAR
We understand that the above information is used by the Clerk's Office in
Waterloo,- City Hall, 715 Mulberry Street, to determine eligibility for
exemption from garbage fees for the current calendar year. I, the
undersigned, declare under penalty of perjury that I have examined this
claim, including all statements and above schedule, and to the best of my
knowledge and belief, it is a TRUE, CORRECT AND COMPLETE claim, and that I
agree to comply with all ordinances and policies of the City of Waterloo and
the Black Hawk County Solid Waste Commission.
In the event that the above person discontinues service with said company
during the current calendar year, we hereby agree to notify the Clerk's
Office of this event by calling 291-4323.
Date
Signature of Abthorized Company Representative
Company's Address
Garbage & Trash Hauler's Permit License
(issued by Black Hawk County)
PLEASE RETURN TO: CITY CLERK & FINANCE OFFICE
715 MULBERRY STREET
WATERLOO, IOWA 50703
City Clerk's Copy - white Customer's Copy - yellow
Exemption year:
PRIVATE HAULER GARBAGE EXEMPTION APPLICATION
RESIDENTIAL CUSTOMERS ONLY
. CITY OF WATERLOO, IOWA
Date (ZL 7 -
Applicant's Name:
Sr;') Telephone No.
Billing Address: ): ( r'5.4 1_71rs,.
Address of Exemption: L c 1
Water Works Account No.:
I request an exemption from Garbage Fees during the current Calendar Year. I
employ the services of a licensed trash hauler. Only the location where the,
trash hauler picks up garbage and trash 14411 qualify for the exemption.
plicant s Signature
TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER:
(14.)NouneL_Prkk.ot, WOst� py S oscAA hereby declare that we are
Company ame
a licensed trash hauler in the City of Waterloo, Iowa, and that we pick up
garbage and refuse at the following location:
Beginning Ending
Address Location of Date of Date of
Customer's Name Garbage/Trash Pick -Up Contract Contract
\oXc3r\ vel CrC-S-VIr IC4.1C I -)_f a.-31-17
CONTRACT PERIOD MUST COVER az LEAST CURRENT CALENDAR YEAR
We understand that the above information is used by the Clerk's Office in
Waterloo, City Hall, 715 Mulberry Street, to determine eligibility for
exemption from garbage fees for the current calendar year. I, the
undersigned, declare under penalty of perjury that I have examined this
claim, including all statements and above schedule, and to the best of my
knowledge and belief, it is a TRUE, CORRECT AND COMPLETE claim, and that I
agree to comply with all ordinances and policies of the City of Waterloo and
the Black Hawk County Solid Waste Commission.
In the event that the above person discontinues service with said company
during the current calendar year, we hereby agree to notify the Clerk's
Office of this event by calling 291-4323.
Date
ua,„(„iv- Signature of A orize Company Representative
�DecJbcr\/A-Ay
Company's Address
Garbage & Trash Ham s Permit License
(issued by Black Hawk County)
PLEASE RETURN TO: CITY CLERK & FINANCE OFFICE
715 MULBERRY STREET
WATERLOO, IOWA 50703
City Clerk's Copy - white Customer's Copy - yellow
Coyvl
NAMES p
/ 6 ii112126-t--:
4N...
NAME
8. TRENT & ANDREW NORDSTROM )(
SEEMA ARAB
BECKY SEIFRIED
BETTY L. GETTY
GARY & KAREN BENEKE
DIANNE RAGER
GAY MCBRIDE
MUHAMMAD SARWAR
CONNIE BROELL
V'° L. LL, -
PAM DOWIE
SUSAN CLARK
C
7�
�\
p11�/� dJ tom.
ADDRESS
3608
3610 .'
3616
3618
3624
3626 `
3632 '
3634
3640 ;,
3642
3648
3650
NAMES Of
NAME
ADDRESS
CLIFF ISRAEL
3649 #1
CORY VINDERSLEV
3949 #2 ..
ESTHER L NEWCOMER
,
3649 #3 `
FAITH HEISER
3649 #4
MEHMED &ZUHRA ALICAIC
3649 #5 —"
CRAIG CORY
3649 #6 ,:
RAMIZ &FAHIRA MUMINOVIC
3649 #7
HUSEIN &ISMETA BEGANOVIC
3649 #8 s.
NICK GERRANS
3649 #9 ";=
MAGGIE A. SHONROCK
3649 #10.
LINDSEY SMITH
3649 #11 _
SUVAD & VESNA MUJIC
3649 #12 '
NAMES Or
NAME
ADDRESS
CINDY DAHL HINDS
3633
#1,
JERRY & JUDY ANDERS
3633
#2
LINDA OLTROGGE
3633
#3 -;
MARIA DEL CARMEN MARTINEZ 7/29/16
3633
#4
MELISSA O'BRIEN
3633
#5
JUDY STARBUCK
3633
#6
SARAH E. JUHL 9/23/16
3633
#7
OSMAN OMANOVIC
3633
#8 .,
SEMIR MUSIC
3633
#9
GARY EWALT
3633
#10
SEMSO ZINKA KAJTEZOVIC
3633
#11
TEAVIS & VELDINA DELK
3633
#12'
NAMES OF
HILDGARD FAULKNER
BONNIE MEIGHAN
ADDRESS
3619 #1
3619 #2
3619 #3-�
3619 #4�t
3619 #5
3619#61
3619 #7 t
JULY2016 3619#8*
3619#9K
3619 #10}
3619 #11 -
3619 #12 i"
KENNETH & CONNIE GRAHAM
RANDY WALKER
TOM LIND
CHRISTINE & AARON FERRIE
TRENT FLANDERS
FEHIM PORCIC
LUBOMINCA BIJELIC
Exemption year: 4o / 7
PRIVATE HAULER GARBAGE EXEMPTION APPLICATION
RESIDENTIAL CUSTOMERS ONLY
CITY OF WATERLOO, IOWA
Date
Applicant's Name d#46- 1kOlelephone No,y)7 -aj-73
Billing Address: 2 p nd-.-
Address of Exemption: Jro/-{ ` _9Nte .# i .k444- #!a'
Water Works Account No. 31' 'j# ! *0 1
6
I request an exemption from Garbage Fees during the current Calendar Year. I
employ the services of a licensed trash hauler. Only the location where the
trash hauler picks up garbage and trash will qualify for the exemption.
Applicant's Signature
TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER:
(We) 1•Ki'Fe. 't.fvirnfrniyA-cl Lnc'. hereby declare that we are
Company Name
a licensed trash hauler in the City of Waterloo, Iowa, and that we pick up
garbage and refuse at the following location:
31e�1
ktiscavr Lo.nL \' t1 Beginning Ending
Address Location of Date of Date of
.rrnmer's Name Garbage/Trash Pick -Up Contract Contract
«4-%3t& 3a -t-'7
• CONTRACT PERIOD MULEAST CURRENT CALENDAR YEAR
We understand that the above information is used by the Clerk's Office in
Waterloo, City Hall, 715 Mulberry Street, to determine eligibility for
exemption from garbage fees for the current calendar year. I, the
undersigned, declare under penalty of perjury that 1 have examined this
claim, including all statements and above schedule, and to the best of my
knowledge and belief, it is a TRUE, CORRECT AND COMPLETE claim, and that I
agree to comply with all ordinances and policies of the City of Waterloo and
the Black Hawk County Solid Waste Commission.
In the event that the above person discontinues service with said company
during the current calendar year, we hereby agree to notify the Clerk's
Office of this event by calling 291-4323.
12- 2.a - t cn
Date
n
Signature of Authorized Com pf'ny{{//Reprresenttative
?GP /gxgS Std' 0110 i&r cin
Co any's Address
(lnRleW* Bkc/�ltti J)of
Garbage & Trash auler's Permit License
(issued by Black Hawk County)
PLEASE RETURN TO: CITY CLERK & FINANCE OFFICE
715 MULBERRY STREET
WATERLOO, IOWA 50703
City Clerk's Copy - white Customer's Copy - yellow
Exemption year:/ -0/7
PRIVATE HAULER GARBAGE EXEMPTION APPLICATION
RESIDENTIAL CUSTOMERS ONLY
CITY OF WATERLOO, IOWA
Date
Applicant's Name Vilet /,/ ,/n L///t
/ ��46 G1¢69&Telephone No,../)q-c933-18
Billing Address: 3642 7 Kr x V—"
Address of Exemption:
Water Works Account No.:
0
I request an exemption from Garbage Fees during the current Calendar Year. I
employ the services of a licensed trash hauler. Only the location where the
trash hauler picks up garbage and trash will qualify for the exemption.
Applicant's Signature
TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER:
(We) {Fi+C LY)VI`rnnnilevftj Lnc.
Company Name
hereby declare that we are
a licensed trash hauler in the City of Waterloo, Iowa, and that we pick up
garbage and refuse at the following location:
Beginning Ending
Address Location of Date of Date of
Customer's Name Garbage/Trash Pick -Up Contract Contract
� 1-1-17 (7p&
CONTRACT PERIOD MUST COVER AT LEAST CURRENT CALENDAR YEAR
We understand that the above information is used by the Clerk's Office in
Waterloo, City Hall, 715 Mulberry Street, to determine eligibility for
exemption from garbage fees for the current calendar year. I, the
undersigned, declare under penalty of perjury that I have examined this
claim, including all statements and above schedule, and to the best of my
knowledge and belief, it is a TRUE, CORRECT AND COMPLETE claim, and that I
agree to comply with all ordinances and policies of the City of Waterloo and
the Black Hawk County Solid Waste Commission.
In the event that the above person discontinues service with said company
during the current calendar year, we hereby agree to notify the Clerk's
Office of this event by calling 291-4323.
Date Signature of Authorized Comp ny Representative
ny's Address
On Ple kOk,BitillaodADopt
Garbage & Trash Eauler's Permit License
(issued by Black Hawk County)
PLEASE RETURN TO: CITY CLERK & FINANCE OFFICE
715 MULBERRY STREET
WATERLOO, IOWA 50703
City Clerk's Copy - white Customer's Copy - yellow
12 IflVITonIenta
Tex: ii; St. Waterloo. 50702- 319-23-5-'1401
Y 5, 2016
1r Valued Custinmar„,
rif entalcortt
Environmental is excited to announce the acquisition, of 0arveif CCitErELCIJCrff: W,1151:=-1
:!.,---.?:4.,:,-;--.--:Th., -:-L-:1 7 :v:-...:,:.-E:',:s. ti-v4:-Ls.nct: ‘,.:2,":`''.• 91::,..).-::>: July ii 2:i1,25. Rite 5:v.4roomsacral iE EI liEiCa4
ad recycling and Waste management cco2pany that is condriuouslyettpwl-i..z ?no iriveffna
.tdDr vetle Tne acriolSTJOil allinvys Rite Envioarinneinte. to offer cornpr&le:nie (•-?:CLy:Er;:--7
,',7:.E.tEL romove. servictii for resiclez I iial tonal -larded, Indust -hi, ancl nnunitliers! .i2ifatc...-ee; 5
TO (::',:'Cited about this os.-tort“rcitty, and 5iii4.1 bring, the staff of Denver Constructions waste
7.5, rrivisien on bGarcl! Iii you ha ‘,Ya any questions please. do not hesitate to call our OffiCrE, at
35-21101 or eintlil tic at cervcRiternleircinfiieinfal.riont. Wtth the "Rte People Rita Piniees
ire Senitc÷i, it,lclee .::-"nvuonnientai is t4e preferred, recycling and waste manageMent provide"
Cedar Valley!
Exemption year: a O / 7
PRIVATE HAULER GARBAGE EXEMPTION APPLICATION
RESIDENTIAL CUSTOMERS ONLY
. CITY OF WATERLOO, IOWA
Date %off - 3 - off Dte
cant's Name:
ng Address:
ss of Exemption:
9� r� t- � L ft SJ? Telephone No.
o� D% S:-*
zi CK:ct- 074,ciF (.
Works Account No.: '3- 3D- 3,3 D Q P.-:2? %l
est an exemption from Garbage Fees during the current Calendar Year. I
the services of a licensed trash hauler. Only the location where the,
hauler picks up garbage and trash will qualify for the exemption.
gl 54:1)
A plicant's Signa re
:OMPLETED BY LICENSEDFir/UL-`?t/5
�GARBAGE AND TRASH HAULER:
Ji f f 'S F//I UL- `,JJ 5 5c -' LQ_-- hereby declare that we are
Company Name
ased trash hauler in the City of Waterloo, Iowa, and that we pick up
s and refuse at the following location:
Beginning Ending
Address Location of Date of Date of
r's Name Garbage/Trash Pick -Up Contract Contract
L I; 5'n . J/ o f17 / - 3/- ,a'1 %
CONTRACT PERIOD MUST COVER AT LEAST CURRENT CALENDAR YEAR
=rstand that the above information is used by the Clerk's Office in
>0, City Hall, 715 Mulberry Street, to determine eligibility for
_on from garbage fees for the current calendar year. I, the
_gned, declare under penalty of perjury that I ha17e examined this
including all statements and above schedule, and to the best of my
Ige and belief, it is a TRUE, CORRECT AND COMPLETE claim, and that I
:o comply with all ordinances and policies of the City of Waterloo and
ick Hawk County Solid Waste Commission.
event that the above person discontinues service with said company
the current calendar year, we hereby agree to notify the Clerk's
of this event by calling 291-4323.
!��_119di��-
Exemption year: 12-017?
2 , 1 1 7
PRIVATE HAULER GARBAGE EXEMPTIONPTAPPLICATION
RESIDENTIAL CUSTOMERS ONLY
. CITY OF WATERLOO, IOWA
Date ) l
r-7
.cant's Name: QL�p
ng Address:
xemption:
Works Account No.:
e0 W0;,t, Telephone NO3
/Pt\�
est an exemption from Garbage Fees during the current Calendar Year. I
the services of a licensed trash hauler. Only the location where the,
hauler picks up garbage and trash will qualify for the exemption.
fl-Lf6t-4 a-11419
Applicant's Signature
ivvu
7OMPLETED BY LICENSED GARBAGE AND TRASH HAULER:
tad(, 0
Company am
61(
.sed trash hauler in the City of Waterloo, Iowa, and that we pick up
a and refuse at the following location:
hereby declare that we are
Beginning Ending
Address Location of Date of Date of
?.r's Name PQ,QGOGarbage/Trash Pick -Up Contract Contract
Pire mato-em \--t -f 1"D._,31--1
CONTRACT PERIOD MUST COVER Al LEAST CURRENT CALENDAR YEAR
srstand that the above information is used by the Clerk's Office in
>0, City Hall, 715 Mulberry Street, to determine eligibility for
.on from garbage fees for the current calendar year. I, the
.gned, declare under penalty of perjury that I have examined this
including all statements and above schedule, and to the best of my
[ge and belief, it is a TRUE, CORRECT AND COMPLETE claim, and that I
:o comply with all ordinances and policies of the City of Waterloo and
.ck Hawk County Solid Waste Commission.
event that the above person discontinues service with said company
the current calendar year, we hereby agree to notify the Clerk's
of this event by calci. 291-4323.
)3WY