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HomeMy WebLinkAbout3807-3827 TRENT LANEExemption year: 2020 PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date 3/r/Zo2o Applicant's Name: Billing Address: ('ur`i (Gl at,( 3F07 rrenf L . Telephone No .3 / l -a 7' 6775-0 Address of Exemption: 350 7 f e if 1-4v). 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 will qualify for the exemption. Applicant's Signature TO BE COMPLETED BY LICENSED GARBAGEGAND TRASH HAULER: [���e �V�U ► tr CV\ 1'&.��.'i-tt 1 Company Name a licensed trash hauler in the City of Waterloo, Iowa, and that we pick up garbage and refuse at the following location: (We) hereby declare that we are Beginning Ending Address Location of Date of Date of Customer's Name Garbage/Trash Pick -Up Contract Contract cLc Gout F164 ,a07 tf41A4- t ,, tua,+e✓lc 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 uthorized Company Representative Exemption year: 202_() PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date Marc-41 Applicant's Name:au; Telephone No. (9j-00-(7 Billing Address: 38Dci Trev-- 1- -i e- (,)aferlco, =A_ 5O'7oi Address of Exemption: $80q 17re11-1-- L e. 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 will qualify for the exemption. Ap 1 cant's Signature TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: (We) khv j t c>AtA -e,v a. l 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: Beginning Ending Address Location of Date of Date of Customer's Name Garbage/Trash Pick -Up Contract Contract Sv. A4A11; att.. Cove- 601 ,M(-) 7rc. (41*- 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. 3/z/ e Si nature f Authorized Company Re resentative Dat g p y p Exemption year: 2 02_0 PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date Z/Z9/219Zp Applicant's Name: Ka-14 y Telephone No.(31c?tfg3-939`J Billing Address: 3813 Trenf" Address of Exemption: Water Works Account No.: 386 T �., F L.a ne. �z9G��f—ss 9 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. Applicantnature TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: (We) r t 4wV I ro /i1,vlvt.e0,1(-0, Company Name a licensed trash hauler in the City of Waterloo, Iowa, and that we pick up garbage and refuse at the following location: hereby declare that we are Beginning Ending Address Location of Date of Date of Customer's Name Garbage/Trash Pick -Up Contract Contract S -\-' yG c..te Cdokfc '¢ 3f 13 T/N1 v I Lir. i k/a rx� .- 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 Representative Exemption year: 202-0 PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date R9 ?a, ao Applicant's Name: vlLAZt ci 4/h Z til,/)-4-+-4414phone No. .Q3a, -km 3 Billing Address: .BCC'( s dxd_ by J Address of Exemption: ZS/ofl ' t-J/Y(2 >(/11 Water Works Account No.: /A`7 61/S -5-6.5-'f 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. J Applicant's Signature TO BE COMPLETED BY LICENSED GARBAGE�AND TRASH HAULER: (We)-� C �t1(.It ✓ ciR(M �u�ToL 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: Beginning Ending Address Location of Date of Date of Customer's Name Garbage/Trash Pick -Up Contract Contract S inw".Y s f d L (ND- O' 3 e15 rtre t L-vv r uJ t o0 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 f Au horized Company Representative Exemption year: ,'0p10 PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date .41/2402 Applicant's Name: Z&"4 `- k Telephone No.317-, lo-Sa Billing Address: 3gW e //LA (,J .,'AQo l ' I Address of Exemption: -( V€ j ( C.i)0kApo TA SOD0( 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 will qualify for the exemption. pLik Applicant's lgnature TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: (We) K k+e. r J sc 0 ►1`4'Le-44k1 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: Beginning Ending Address Location of Date of Date of Customer's Name Garbage/TrashJPick-Up Contract Contract kA1•yS[ dt 1 Coy T-!GA 58Z1 lV�4ti�- �h, ttJc f ul6o 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. 3/Z/ZU Date Signature of Authorized Company Representative Exemption year: 202.0 PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date Applicant's Name: (acry / vvjeit o Telephone No . 5(e3-Z7S-0(c'(3 Billing Address: 36L7 TreAk Lave, Vakerfco TA 50701 Address of Exemption: 3817 Trtn'I" Lpriet IIAkerloo =A 5070( Water Works Account No .: 12 4-68 - Ef3I" 8 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. kg(e Applicant's Signature TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: (We) 9t:Ora En\iorcvNW1 1 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: Beginning Ending Address Location of Date of Date of Customer's Name Garbage/Trash Pick -Up Contract Contract $wnv‘ 5`r4 Cpv f (0 A 3a52--I erg v\h- l'411 \j u-ki to© 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/ 2 /ZD Signat re of Authorized Company Representative