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Attachment C <br />2014 Roseville Residential Leaf Pickup Program November 3-18 <br />N a me (print) <br />Property Address (where you want leaves picked up) <br />Billing Address <br />Contact Phone Number Email <br />By signing & returning this card, I acknowledge and agree to the following: <br />• I will be billed $55 by the Roseville Finance Department on my nextwater bill. <br />• The $55 fee covers pickup of only leaves raked to the curb during my scheduled time. <br />• I am responsible forthe entire fee, even if some leaves remain on mytrees or in myyard. <br />• To adhere tothe schedule, THE CITY WILL NOT MAKE RETURN TRIPS. <br />• I givethe City of Roseville authorization tocertify unpaid feeamountsto my property taxes. <br />• I must complete, sign, and return this card NO LATER THAN OCTOBER 29 to participate. <br />Date <br />Save time and postage by registering online <br />www.CityofRoseville.com/leaf <br />IMPORTANT: If you register online, please DO NOT mail In your card. Thank your <br />NW'sagp u!nnl <br />£LLSS NW'all!Aasoy <br />tstn!w,ad anud Ja;ul 099Z <br />amd ;uaw;iel slioi Nd <br />ae�sodsn <br />aLslasad `-i i '� 3jL-K',31qv <br />