HomeMy WebLinkAbout1997-08-18 New Garbage Service Order Form SERVICE ORDER FORI1r`
ACCOUNT NUMBER: (P 6 2-"i f - c UNITED WASTE MN
DATE: a if 7 KNUTSON
/61.A.-i-t: WRITTEN BY: � OTHER
rs_ ` NEW
CCOUN SERVICE RE- INSTATE CHANGE
CIRCLE ONE ADDRESS CUSTOMER SERVICE
PRICE LEVEL
CHANGE VACATION
BILLING :. ":FOO RATION
CUSTOMER NAME �A lsU 4) OZ A u% �'d /f A/ --lO6*(-
G
ADDRESS N,i(P/ ^ -57r-`44-, _____--------
CITY IP CODE -‘ HOME PHONE 1' , - - "
BILLING ADDRESS DAY TIME
PHONE
CITY ZIP CODE
SERVICE INFORMATION
START DAT ; : O --1---/-97 PRICE PER MO
SERVICE LEVEL 7° � ,
DAY � - 1 ROUTE# 3/
CYCLE MAP CODE
DAY ROUTE # VS
CODE 0 tic/ U3
DAY COMPOST#
CODE l SI
p CART NS CONTAINERS 174 f DEL DATE ' Z Z 7 6.. d
CODE t__
DAY FORM
CANCEL INFORMATION
CANCEL DATE CODE DAY ROUTE#
REASON FOR CANCEL DAY ROUTE #
DAY COMPOST#
CART BINS CONTAINERS
P/U DATE
DAY FORM
MISC INFORMATION