HomeMy WebLinkAbout2004 4th Quarter FRANKLIN C
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Court House
Chambersburg, PA 17201
Customer's -, -
Order No.-_________Date 20 4)
Name
Address
SOLD BY is C.0 D CHARGE ON MDSE PAID OUT
ACCT RETD.
QUAN. DESCRIPTION PRICE AMOUNT
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All claims and returned goods MUST be accompanied by this bill.
GS-201 2 PRINTED IN U SR. OrifinkCY&W ' ZOTINIC'
THIS DOCUMENT HAS A COLORED BACKGROUND AND MICROPRINTING IN THE ENDORSEMENT SIGNATURE LINE.THE REVERSE SIDE OF THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK.
W ' Waste Management Service Center BANK OF AMERICA CHECK NO 0 0 0 3 8 12 12 9
P.O. Box 3027 DE COMMERCIAL DISBURSEMENT ACCOUNT
WASTE MANAGEMENT Houston,TX 77253 NORTHBROOK,IL
70-2328/719
DATE: 01/19/2005 ova s oa"e`kCK Eo
PAY EXACTLY
PAY EXACTLY ****TWENTY-TWO THOUSAND TWO HUNDRED SIXTY-NINE AND 03/ 100 US DOLLAR**** $22,269.08***
--.-
COUNTY OF FRANKLIN _
218 N 2Nd St AUTHORI SI N R E
TO THE Chambersburg,PA 17201
ORDER --
AUTHORIZED SIGNATURE
OF
11'000 38 1 2 1 29116 1:07 L9 23 2841: 876541.103 L7811'
i4 A Waste Management Service Center FOR INQUIRIES CALL
-" 11,® P.O. Box 3027
WASTE MANAGEMENT Houston, TX 7725: 866-834-2080
Check No. 0003812129
Doc Date Invoice Number/Description Original Amount Discount Amount Amount Paid
12/31/2004 2086-12/31/2004 22,269.08
0061/4TH Q 1,F FEE 0.00 22,269.08
Vendor Number
0000035880 Name
Check Number Conn,,,Of Franklin
0003812129 Date Total Amount Discounts Taken
01/19/2005 I Paid Amount
$22,269.08 $0.00 $22,269.08
2560-FM-LRWM0168W Rev.12/99 COMMONWEALTH OF PENNSYLVANn,-
Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION
Recycled Paper BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT 71
Municipal Waste Landfill and Resource Recovery
Quarterly Operations and Kecycling Fee Keport
A. General Information
01/19/05
1. Permit No. I 11 0 I 1 1 1 1 0 1 0 1 2. Page 1 of 1 3. Month 10 Year 121 0 1 0 14 I
4. Number of Days of Operation 12 16 I
B. Monthly Operations Report
Complete at least one worksheet for each month in quarter. Complete one line 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 expressed
in tons rounded to the nearest tenth (.1),3 Cu. Yd. = 1 Ton, 1 Ton=2,000 Pounds.
PA County
Code or State
Line Abbrey. Sewage Processed Demolition/
If Out of State Municipal Residual Sludge Infectious Construction
Ash Asbestos TOTAL
1 0 1 3,276.6 306.0 56.3 431.6
4,070.5
2 I1I9I 7.9
7.9
3 12 I 1 I 2,784.2 866.9 53.2 741.2
4,445.5
4 2 12 7,621.4 4,362.3 1,402.8 469.9 13,856.4
5 121 8I 4,386.9 959.0 158.4 976.2
6,480.5
6 2I 9 321.0 209.2 68.8 599.0
7 5 I 0 40.0 40.0
8 6 17 23.2 41.1 47.5 111.8
9 M I D 1,894.9 1,357.6 15.7 984.4 4,252.6
10 VIA 136.9 29.6 7.9 174.4
11 WI V 1,838.1 135.0 144.9 2,118.0
12
-
MONTHLY TOTAL *
13 TOTAL 22,267.9 8,248.8 1,727.5 - 3,912.4 - - 36,156.61
Lii,"-Monthly total includes 4,274.4 tons of alternate daily cover material.
11.11.1=1J
2560-FM-LRWMO168W Rev.12/99 COMMONWEALTH OF PENNSYLVAN.__.
MI
Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION
Recycled Paper BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT
Municipal Waste Landfill and Resource Recovery
Quarterly Operations and Recycling i-ee Report
A. General Information
01/19/05
1. Permit No. 11 0 I 1 I 1 1 0 j 0 I 2. Page 1 of 1 3. Month 11 Year 2! 0 1 0 1 4
4. Number of Days of Operation 2 I 5
B. Monthly Operations Report
Complete at least one worksheet for each month in quarter. Complete one line 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 expressed
in tons rounded to the nearest tenth(.1),3 Cu. Yd. = 1 Ton, 1 Ton=2,000 Pounds.
PA County
Code or State
Line Abbrev. Sewage Processed Demolition/
If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL
1 0 1 3,355.0 213.1 125.9 479.2 4,173.2
2 2 11 892.8 772.3 29.2 683.0 2,377.3
3 2 12 6,114.8 3,505.8 1,486.0 898.5 12,005.1
4 2 8 4,598.6 871.4 239.6 797.7 6,507.3
5 2 19 309.1 187.1 58.7 554.9
6 5 0 318.1 318.1
7 6I 7 33.0 83.7 39.3 156.0
8 M D 1,374.7 1,697.3 58.7 3,130.7
9 VIA 79.9 26.8 • 106.7
10 W V 2,663.3 118.5 156.7 2,938.5
11
-
12
MONTHLY TOTAL*
13 TOTAL 19,706.3 7,425.3 1,964.4 - 3,171.8 - - 32,267.8
LOthlY total includes 4,199.1 tons of alternate daily cover material.
Mil
2560-FM-LRWM0168W Rev.12/99 COMMONWEALTH OF PENNSYLVAN' IMMIMIll
Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTto,ION
Recycled Paper BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT
Municipal Waste Landfill and Resource Recovery
quarterly Operations and Recycling I-ee Report
A. General Information
01/19/05
1. Permit No. 11 0 1 J 1 0 0( 2. Page 1 of 1 3. Month 12 Year 2 0 0 4
4. Number of Days of Operation 2 6
B. Monthly Operations Report
Complete at least one worksheet for each month in quarter. Complete one line 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 expressed
in tons rounded to the nearest tenth (.1),3 Cu. Yd. = 1 Ton, 1 Ton=2,000 Pounds.
PA County
Code or State
Line Abbrev. Sewage Processed Demolition/
If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL
1 0 1 3,326.8 246.4 151.4 318.1 4,042.7
2 2 I 1 J 1,848.6 1,258.3 54.3 381.0 3,542.2
3 2 12 7,864.2 3,337.7 1,351.3 746.9 0.9 13,301.0
4 2 8 4,409.2 788.9 43.0 822.0 6,063.1
5 2 19 324.5 132.2 55.2 511.9
6 6 7 56.0 42.7 98.7
7 M D 1,451.7 1,468.8 265.3 58.2 3,244.0
8 V A 27.5 26.7
54.2
9 W V 1,913.7 123.8 127.4 2,164.9
10
-
11 I 1
12
-
MONTHLY TOTAL
13 TOTAL 21,166.2 7,382.8 1,921.3 - 2,551.5 0.9 - 33,022.71
LOflthlY total includes 3,897.3 tons of alternate daily cover material.
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