HomeMy WebLinkAbout1997-08-05 Service Order Form - New Trash Collection Account , SERVICE OR 11 ER ORM
(
ACCOUNT NUMBER: / L 3 ) UNITED WASTE MN
DATE: d" -5 Y7 � ��, iv
KNUTSON
WRITTEN BY: OTHER
NEW NEW
ACCOUNT SERVICE RE- INSTATE CHANGE
CIRCLE ONE ADDRESS CUSTOMER SERVICE
PRICE LEVEL
CHANGE CANCEL VACATION
/ BILLING INFORMATION
CUSTOMER NAME Ci Z Th wt 1 f�
ADDRESS /3/2-S' T
CITY ai l -4 L/ 4 c- ( 1.41 - - HOME PHONE 93 2- 9S
BILLING ADDRESS DAYTIME
PHONE
CITY ZIP CODE
SERVICE INFORMATION
TART DAT . ( f / 7 PRICE PER MO
SERVICE LEVEL 6
DAY 4.1- ROUTE# 3/ y
CYCLE MAP CODE (�
` O tit( o �� DAY ROUTE # -�/
CODE (D
DAY COMPOST#
CODE CART . BINS /
DEL DATE u . a t -`
CODE
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