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HomeMy WebLinkAbout3807-3827 TRENT LANE Exemption year: 2022 PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date 2 - 2 Applicant' s Name: � �, �, �' �G G( Telephone No.-,,1 -7V-c17:,,) Billing Address: 0 p, , Wt.!-/-el-le,o .TA 6-07d% Address of Exemption: 3 DC7 '7 Tre jq f 4 [� ul a f-er-100 , z�f, -0 70/ Water Works Account No. : _I-Z 7 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. Applic is Signature TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: (We) � � hl� �i r, Mr �0i ' Ln n 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 Saye ,� ���a cJ. � r l ro L� fn� d -f`2Z I-Z� 31 -22 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. Harp Sia-iaturig of Authorized Cbmvanv Representative Exemption year: p PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date C . -�k � aUaY_ Applicant' s Name: hn,'r e, 01-4 1 It, Telephone No. 3/g_ in uo2Q Billing Address : 3`G'©°l l i^zr1}- L��J�rZ ( )` terLn ,Q 5Q'70 I Address of Exemption: $ Water Works Account No. : i 3,9199 - 6Lf?o a3 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. cif fVYld-tom Applicant's Signature TO BE COMPLETED BY LICENSED GARBAGE //AN/D TRASH HAULER: (We) W � �I�V ✓v V\ Lryya ( to 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 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. nate Sian ure o uthorized Companv Representative Exemption year: [672Z PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date Applicant' s Name: �� Telephone No 31 9 -9 q Billing Address: 3�'J T2yrt GaAu h4K2t -LA 5670 / Address of Exemption: ���3 j� y� � _ �LZLA& T? 5O70� 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. 'Ant's Signature TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: (We) { Q ��h U f� hG� � �(n C 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 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. -2—/7 �ak tt An/tit F' Ue)o Harp SianaturK of Authorized Company ReAresentative V T 1 .ykV.3 -•. a -'.�_1 4 � ....L'ry b l C A7 r } Lr 7r tar=_i 1 FV,Li _ .. ���'♦ _ it... ,. .t a_ ( a.:�.v T �..- — .:vt,l -.. - -.,l axe.-. _.A . ..._._ .:- a] _r__ 1 .T.�.. - . i ' t / 'ACA- - - r - fi: Fr'-.A y,A.SgC�Z+ .,.. �.. . ;ter- .:.'... -,_� :✓'i' s-:i � -., .. -r: .� -. -.$ r- -} /:. ,; - _ _. ,-,,.; qi Grp .-. :" _' ... _ ,�`!:1 •7 - ... i Exemption year: ZOZZ- PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date d-t� J'1 Applicant's Name: Telephone No. 42 76 Billing Address: 3�IS �bZ Address of Exemption: �{�� '' II 2j Water Works Account 1Jo. : �q I� `-7-j 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 Signa ure TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: (We) (� , { fz:kV`v✓C, ( -tom (- 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-Un Contract Contract 3M S 'T,r V4 Ly-,- LJ(ad 1 1 —?2— 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. Tlata�� �(b W, Signature Authorized Companv Representative �� NOW j 411'1 .#-' r .KIM � 1 qdw :01 s r J.1 1 .�w:l i t--'_ :_w+d :=J� � 4. l . .� f':•?l 7 �4 i�.i't„T.:l �' -'}_. t'... ACS: h.Y �d .� f .�.� _ :15-101 ii .,( - fl!)1C"d --a—Er 4 1 LOA } +ry1 4: J. a, smi 3lJS! .6b �$ i3_ _ 'IRA JTAAWV� Ic A '_.1 s� �.:1� i' '�'GwJ ' •y �i ,... ),_ a. yr,ti _ 4. + to r. :.7+`i. rvq x,Ja .63 . . Y ..`.� r v, .t..i ,r 1. F ren) `_"7 i :' �.:.:f O'0.LV11 9 G� :" G rh ` n ,.l� 'I � ...� . ..: 3 r-�U:~ .%� Gc^«T `:' r .JIY 6a 4:� 'l}.-•�..� ��... ...I �r4' � _... �.. ___..... �. .._.... .an_. .... �. 'F'`.d' k..�, a ,_ � _ a_ +?U � •f .. v .. -t (-q Exemption year: 202 PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date T Applicant ' s Name: -e-Jt. (1J� j ^_ Telephone No. 1�]- q 7 Billing Address: 381(0 Address of Exemption: 38l(o -T`fU4 La), Wa tr too SA 4;010 Water Works Account No. : I ;.q l'4TP- " 5LAq, 0s(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 tras13, will crualify for the exemption. �V Applicant's Sig ture TO BE COMPLETED BY// LICENSED GARBAGE AND TRASH HAULER: (We) i 4--fl &KU f ✓^t3 NJn/ Vr kk fYk 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 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. Harp Sidnat e of Authorized Company Representative BMW' vo -0ADllTCl,:,,k 4:- [Q>=31 urr a oj ki D,- -1A �.Fl RUAT 'A q0 9w 2D - ----- ---- LL IA C iY �,A, -L L 0M.0b C.u J k 10 Tw t C Il 1 C 114 9V ( 7, 1 Exemption year: ,-o ac� PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date T Applicant's Name: RAle11t Qt�Z�/�SKS / Telephone No. X40 � Billing Address: 3��1 �(Cti� Lv\ C.JG eAL&,V J7� Address of Exemption: 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 gn', ture TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: (We) �� Lf \y fO KiNAL 4a,( :hNC, 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 �etmyu sici 3911 Tomei,.-�- L11 jy.►fyG ( r22 12-r1w! ( -2-2- CONTRACT 22CONTRACT 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. Dat¢ Sianaturd of Authorized Comnanv Representative a iw-- : ZM �F, T OVSUD —Wol IOWJTETAT�. tj i I ms"X e -`7 vinr �s��i ;:$b` 1)'" [j.J jE lo I. a Di. I 31+al�a— jr, TW I'VE 'nIoId;;FU- -TX�jj T .37.- T 001,2" "'1" C,Q 7. bi,z� vA, Exemption year: 2-0?-2-- PRIVATE OZZPRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date _k1ayembe+- Z/, Zo2/ Applicant' s Name: Gmlr4 V&1166/10 Telephone No.563-275-y6Lf3 Billing Address: .3827 -rr-enf L&ne, 5070/ Address of Exemption: 3827 '�i-Pat f (-ar►�f uxhrloo .P4 80701 Water Works Account No. : I Zq,�/,8 -5L/ 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. b Applicant's Signature TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: (We) ��Ee, C- yi rUriWAP-✓�-+0,A attic 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 , 4 \fQV 9A o re a. i. ,o 1�•�cic,,r( — 22 /2-3/-22 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 . Harp Sianature of Authorized Companv Representative