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rit1-ACIF1C - 3O lean El.E.O.Bo;2C3 • Eutene.OR 776pp _ <br /> — 5:-161-1441 • Fax 511-161-1516 - <br /> RECYCLING, INC. <br /> Todays Date: <br /> fi <br /> Customer Name/Signature <br /> Prepared Unprepared <br /> • <br /> Non-Ferrous <br /> Other <br /> Truck # _ Trailer r Box # <br />