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<br />Centerville Environmental Education & Resource Center <br /> <br />city of Centerville Solid Waste Information <br />and Material Handling Order Form <br /> <br />TO ORDER MATERIALS ORINFORMAnON PLEASE CHECKTHE APPROPRIATE BOXES <br />Bnow AND SIGN PARTE OF THIS FORM. SEND TOCENTERVlW CITY HALL" 1880 <br />MAIN ST.,CENTERVIW,MN 55081. <br /> <br />Curbside Recycling <br />Containers <br />(ResldentIaQ <br /> <br />(Part A) Residential Only <br />D I did not receive aD or part of my curbside containers <br />that are needed. (See Partq D Amountneeded <br />D Newresldent D CUrrent resident 0 Other <br />D Iwm pick up 0 Please deliver ($5.00 charge) Pleasestate <br />D Other information <br /> <br />NOTE: For billing credits or other Inclusions as listed In newsletters, all residents must have <br />bar code stickers affixed to the Inside of each recycling bin. Call your hauler for ordering <br />Information. <br /> <br />Informational <br />Materials <br />(ResldentIaQ <br /> <br />D Acceptable recycling materials list. <br />D waste reduction Ideas and information <br />D Hazardous waste dIsposaI"formaflon <br />D Other <br /> <br />Please state <br /> <br />Informational Materials <br />(CommerclaQ <br /> <br />(Part B) Commerdal Only <br />D I would.e more ~rmatlon on starftlgor expandtng recvd"g for my <br />buHIess. <br />D waste reductton Ideas and information. <br />D Hazardous waste dtsposal information. <br />D Other <br />Please state <br /> <br />Residential <br />Requirements <br />(ResidentlaQ <br /> <br />(Part a <br />All residential households are required to have two stadcable curbside recyc:ltlg <br />containers only. (plus one adcl1tlonal container to previously assigned residential <br />households). Do not take conta...rs with you when moving. These are dtyowned <br />property and should rema" at the residence assigned. VIolators of theft or <br />intentional misuse wll require tmmedIate payment equal to current replacement <br />costs of conta"ers .. addltlDn to any legal fees that may occur In obtaining the <br />above costs. <br /> <br /> <br />I(Part OJ Addlllonallnlorma1ion Accounts <br />Please list <br /> <br />J Additional Requests <br /> <br />D I would .e more information on helping my community with Environmental <br />Programs and ServIces. <br /> <br />Please Sign <br /> <br />(Part E) Please sign for all material or Information requested <br />Name Address Phone <br />NOlE. ALL INFORMA1l0N AND MAlERIAlIS OF NO OiARGE UNlESS SPEaRED <br /> <br />_~~ l~ ~=..=...""%-by _ <br /> <br />D Ne - information forwarded to <br />information or material sent/picked up on <br /> <br />DIIe <br />