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Form #41 : ANNUAL RECYCLING NOTICE

 

Required entries are indicated by blue icons or *

et al (and all others)

 

In accordance with ORS 90, notification of recycling service is hereby provided.

The following items may be recycled:

These materials are collected at
 
 on 
 

All items for recycling must be in clean condition, lids removed and properly prepared for disposal.

 

Please Note: Signature field must be filled in and signed after printing.

Owner/Agent Signature:   Date:

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