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Document Jerome_doc_0eb54a2834

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Date Needed: Charge: $60.00 Received by: Date received: OVERNIGHT TRUCK REQUEST Address: Parking Location: Name: Phone Number: THE FOLLOWING IS THE POLICY ESTABLISHED BY THE CITY OF JEROME REGARDING OVERNIGHT TRUCK REQUESTS: A NON-REFUNDABLE FEE OF $30.00 IS CHARGED FOR THIS SERVICE The following items are NOT allowed to be put in the city trucks when the trucks are left at residences or businesses for trash disposal: Commercial trash; construction materials; shingles; drywall; batteries; appliances; tires; lumber with nails or any kind of hardware attached; paint; and/or chemicals I HAVE READ AND AM AWARE OF THE POLICY REGARDING THE PUBLIC WORKS DEPARTMENT OVERNIGHT TRUCK REQUEST. Signature: