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2004 3rd Quarter
, i , FRANKLIN COUNTY TREASURER CASH DEPOSIT SLIP I RECEIPT NUMBER . DATE IMICOI RECEIVED FROM C. Roc rtntnc EXPLANATION�_L_ 7 Lt i ch11411r yA ADDITIONAL EXPLANATION ii , 01327 , E==] [iii liErarro ; , Ei===l Ei=== Liilliiiminge' i E:=7 1===i EEETILEFE , i ii=1 1===] LIL,LAINNININM-- : i E:: ] E==j1 i , El [-_===1 Lailliminnwl-'1=ELElian I TOTAL ..E©©9©12 ` RECD BY 4 o w C:T! (n ") lD X " W 27 T1 C7 �• r ° z CO .o 0 w0 o CI \ w o o o CD• ri.7 C") N ,•••••f. al O () • O OD O 0 o O N 't7 rn w • a co n o 0 o o 0 o0 � N � c� o 0 � N Y Cr) 3 N 1O o 0 .A RA U N CCU TY Court Homjsc Cbambemburq, PA 17201 Customer's Order No. Date 20 Name , ,, Address SOLD BY CASH C 0 CHARGE ON MDSE. PAID OUT ACCT. RETD. ■ QUAN. DESCRIPTION PRICE AMOUNT 111111111111111111 111111.1111111111 MEM __- __- _- TAX TOTAL / at n 057054 Recd by All claims and returned goods MUST be accompanii. by this bill. GS-201-2 PRINTED IN U.S.A. /{�.,. Q�l�/ GAI x o it v' W V��� ` SOY INK BRFR01 FRANKLIN COUNTY IESI Corporation 10/13/2004 Ref Nbr Invoice Nbr Invc Date Invoice Amount Amount Paid Disc Taken Net Check Amt 000375937 3RD QTR FEES 09/30/04 20, 926. 98 20, 926. 98 0.00 20, 926.98 010015176 THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER-THE BACK CONTAINS AN ARTIFICIAL WATERMARK-HOLD AT AN ANGLE TO VIEW South Portland,ME IESI Corporation 52-153/112 2301 Eagle Parkway, Suite 200 Check# 010015176 Fort Worth,TX 76177 I Check Date Check 'Amount (817)6324000 10/13/2004 ******$20,926.98 **Void after 120 days** •Not valid over$200,000 without two signatures** Twenty Thousand Nine Hundred Twenty-Six and 98/100 USD PAY TO THE FRANKLIN COUNTY ORDEROF 157 LINCOLN WAY E 4,00/r A . CHAMBERSBURG, PA 17201 Authorized Signature L eORDER CONTAINS I CROPRRmm1NGJ II.OLOOLSL7611' 1:0 LL20LS391: 80 2L680411' October 18, 2004 Mr. Phil Tarquino Franklin County Planning Director Franklin County Planning Commission 157 Lincoln Way East Chambersburg, PA 17201 RE: Franklin County Fees Third Quarter 2004 Dear Mr. Tarquino: Enclosed please find a check payable to Franklin County for$20,926.98 for the Third Quarter 2004. This fee is based on a total of 83,707.94 tons at$0.25 per ton. If you have any questions in regard to this information,please feel free to contact me. Sincerely, ("ZfAiii* Scott Werkheiser Compliance Manager Enclosure P.O. Box 399 IESI Corporation 717-709-1700-Tel Scotland, PR 17254-0399 717-264-2285 - Fax rnoo ∎oo et o . o - N O's 00 CD d co Hooc -c 0 co ONOer F- N et t= M ° x N N M 00 •• H o z O T3 2 0.., x o © 0 0 w o © 0 c, x O o 0 O H O en .:] ci .. - r., M O H E O O U x o 0 0 0 c, 000 0 d o 0 O 0 a ° en •�.. C' W W .Mr ci 61 •� -C d Q N O M h 'b . 00 L ,'�j N N oo N ,O I -r V] N 04 0? O bD MI T O . O O O O V C V O o 0 0 O ^0' 0 1 U -9 �h t a . z W a cr- . .. o l� M al O, ", k 0 o W vp .-1 00 cn d Di u in I ¢ � � M � re ON 0000 M Oro .a N r r+ Q 7 ri .-i .-i et W IC a• .tvc00 © U Tr Tr o . N M N n a 'J N r U a) . V .0 H d) p Z• >, tO p. F• C C,5 % M 25110411-i�4 Rev.NOM BUREAU COMMONWEALTH PENNSYLVANIA� ROTE Meow type a Prim in Ink nEcrawQ AND WASTE NANAGENEur Municipal Waste Landfill and Resource Recovery . Quarterly Operations and Recycling Fee Report A. General information 1. Permit No. 11101 0 i 9 1 3 1 41 2- Qtr: ❑January-Marc, ❑ April-June fa July-September ❑ October-December © ° Op 3. Facility Name TEST PA RUM RIDGE_ Y� L�iDFTT.T. CORPORATION 4_ Facility Mailing Address P(1 >ipx 399 SCOTLAND PA 1 7 25 4-0399 . 5_ Host Municipality no max, a Township ❑ City ❑ Borough 6-County Franklin 7. Facility Contact Name Paul A. Ye l inek 8. Phone No. 717-709-1700 B. Recycling Fee Computation (check payable to"Recycling Fund') Express Line all weights in tons rounded to the nearest ONE-TENTH ton.(1),3 Cu.Yd..1 Ton, 1 Ton=2,000 Pounds Municipal SaNape No. 1 Mtonlb Waste Residual Waste Mudge Processed 1WoN• Ash Asbestos TOTAL f / 1 OM 3 C s. R. j' 1 1 1 1 O Total � 1 . :. � , ,1. 5 Nonprocessible este(Resou ce =eco - -, .: .);Press • ons) .•• 8 Net Waste(Tons) °f' ) o"s) 0 7 Fee Calculation Q$2.00/Ton 83,707.9 8 Discount for Timely Payment(1%Discount if paid before the Due Date) ((0.01 x line 6) 5 1,67406 6 9 Penalty for Late payment_(594 Penalty for each month or part of month late) (0.05 x line 7 Moe) $ 10 Credit from Previous Overpayment(attach documentation)- 11 Net Fee bus(Payment MUST be enclosed with report to avoid penalty for late payment) 065.741.64 C. Environmental Stewardship Fee Computation(landfill only;check payable to Environmental Stewardship Fund) FI 7m 9 Tons(from Line 4 TOTAL)x$0.25/ton=$ A 926 98 due. D. Disposal Fee Computation(landfills only;check payable to Environmental Stewardship Fund) 83,7117.9 Tons(from Line 4 TOTAL),minus from RRF used as ADC, minus 0 Tons 0 Tons ash and noriProcessi�le waste $ hazardous waste converted to nonhazardous x$4.00/ton= due. This is to certify that I have personally examined and am familiar with the information in this and any attached documents. To the best of my knowledge, information and . • , , the submitted information Is true, accurate and complete. aware that there are significant penalties for s 'ling false informa;. . I am X11. Av .� 1 1 1 1, t' l ( lam I 1 1 ° 14 of R • Representative oa.(n►rlvddryy t w.RleNtetlY Rsv.121ee COMMON ALTM OF PENNSYLVANIA f Types! to Ink OIPARTI�NT OP ENVIRONMENTAL PROTECTION per/dad Paler BUREAU OF LAND RECYCLNs AND WARM ISANAOIDAENT M 71 unicipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Pwrrk No. r 1 L i 7 0 1 0 1 9 t 3 1 4 1 2. Pap. oa ,_ 3. Month July, Year rink e 4. Number at Days or Operation 1 2 I.7 1 a Monthly Operations Report Compete st least one worksheet for each month in quarter Complete one Use for each county within Pennsylvania sheets-necessary y°1' Reproduce one additional blank '�from which you received weete. Continue on additional In tons rounded to the nearest tenth(0.1),3 Cu.Yd.copies Ton,1 form Ton-2,000 Pounds. PA Ceesly Cadewstis M�Mires. A~dWl Sewage Processed Dent'✓ -___i._4_. Ask Asbestos 7 7'AL 1 10 t 11 1,017.0 59.7 0.0 0.0 74.6 0.0 0.3 1,151.6 2 12 ` 1J 539.7 77.2 0.0 0.0 192.6 0.0 0.0 809.5 3 12 12 I 10.3 0.0 0.0 0.0 15.9 0.0 0.0 26.2 4 12181 3,555.8 915.4 723.1 0.0 836.1 0.0 34.7 6,065.1 • 5 11111 0.0 0.0 0.0 0.0 10.7 0.0 2.4 13.1 6 12131 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 7 1617I 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 e Iv I A ( 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 9 I MJ D l 170.0 107.4 0.0 0.0 65.9 0.0 1.6 344.9 10 l N I YJ 12,021.0 0.0 0.0 0.0 0.0 0.0 0.0 12,021.0 11 fNIJI 1,170.9 0.0 0.0 0.0 0.0 0.0 0.0 1,170.9 Lily]1Z 0.0 0.0 0.0 0.0 51.3 0.0 623.7 675.0 MCNfli.Y TOTAL. 13 TOTAL 18,484.7 1,159.7 723.1 0.0 1,249.9 0.0 662.7 22,280.1 L ii Rev. COMMONIIEAI.TH OP PENN'$YWANMA r.IeFM ,1.w p.r hw b rare DEPARTMNT OP EN mOMTM.PNOT11oN 71 P1�lr BUREAU OP LAND NECYOURS AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit*. I 1 1 0 1.0 1 9 13 1 4 1 a p a g e 1 of 1 & Montl01433t Year 1 2 1 0 10 j 4 j 4. Number at Days at Operation 1 21 6 1 a Monthly Operations Report from Mich at least one worksheet for each month in quarter. Complete one ins for each county within Pennsylvania you received waste and one line for each state from which you received waste. Cordnue on additional sheets as necessary. Reproduce additional blank copies of this form as needed. Al welghb must be expressed in tons mended to the nearest tenth(0.1).3 Cu.Yd.=1 Ton,1 Ton is 2,000 Pounds. PA aunty Code argils Maw Swop Processed psspllligr j aura Rssidrrel �_L_ • 0 I 1 1,027.7 27.2 0.0 0.0 131.6 0.0 0.0 1,186.5 2 2 I 1 492,9 77.1 14.6 0.0 51.5 0.0 0.0 636.1 3 2 12 29.3 0.0 0.0 0.0 10.5 0.0 0.0 39.8 4 1 2 1 8J 3,187.5 1,075.1 692.5 0.0 1,090.2 0.0 23.4 6,065.7 - 5 2 1 9 0.0 0.0 0.0 0.0 . 0.0 0.0 0.0 0.0 6 3 [ 8 0.0 0.0 0.0 0.0 0.0 • 0.0 0.0 0.0 7 Ufa 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 6 17 0.0 0.0 0.0 0.0 9.0 0.0 0.0 9.0 a 9 ril11 162.8 110.1 0.0 0.0 35.5 0.0 1.7 310.1 10 I N 1 Y1 11,032.8 0.0 0.0 0.0 0.0 0.0 0.0 33,032.8 ii INIJ 4,513.9 0.0 0.0 0.0 0.0 0.0 0.0 4,513.9 12 1 wJ V 1 0.0 0.0 0.0 0.0 6.8 0.0 156.2 224.2 MONTHLY TOTAL 13 TOTAL 23,446.9 1,289.5 707.1 0.0 1,396.3 0.0 178.3 24,018.1 L _I 1 It s%12111 COMMONREALTN OP PENNSYLVANIA 71 Please Typist hint M Ink DEPARTM 4T OF ENVIIOMIIENTAL PROTECTION ReGyclsd Pipe SUMO OF LAND 5ECYCLmQ AND WASTE MANAQENENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. P s m n t N o. [1:2;1a 2. Page _1__ o f J 3. M o n t h A t Yaw 1 1 e-1 0 [ 4 , 4. Number of Days of Operation ( 216 1 9. Monthly Operations Report Complete at least one worksheet for each month in guilder. Ca npiete one IPM for each county within Pennsylvania from which you received waste and one line for each state from which you received waste. Continue on additional sheets as necessary. Reproduce additional blank copies of this form as needed. All weights must be expmesed In tans rounded to the nearest tenth(0.1),3 Cu.Yd.s 1 Ton,1 Ton is 2,000 Pounds. PA County Code sr!fate Abkay. Swags Processed Dun.JNoni M Out of afar - . Residual ,__,_.. AM Asbenos TOTAL 1 FIN 1,077.8 39.8 0.0 0.0 74.9 _ 0.0 0.0 1,192.5 2 1 1 468.6 100.8 92.3 0.0 57.9 0.0 0.0 719.6 2 _ , 3 121 2 24.6 0.0 0.0 0.0 17.3 0.0 0.0 41.9 4 2 1 8 3,163.1 1,372.2 747.7 0.0 960.2 0.0 0.0 6,243.2 , s 2 1 9 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 6 1 51 1 85.8 0.0 0.0 0.0 0.0 0.0 0.0 85.8 7 N 1 J 7,024.9 0.0 0.0 0.0 0.0 0.0 _, 0.0 7,024.9 617 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 8 9 j M1 D 181.3 225.5 0.0 0.0 0.0 0.0 0.0 0.0 1 0 MN 21,466.4 0.0 0.0 0.0 0.0 0.0 0.0 21,465.4 11 V[A 7.3 0.0 0.0 0.0 0.0 0.0 0.0 7.3 r 12 INN 0.0 0.0 0.0 0.0 164.8 0.0 9.9 174.7 MONEY TOTAL 13 TOTAL 33,498.8 1,738.3 840.0 0.0 1,322.7 0.0 9.9 37,409.7 Ii