Material Checklist Form City Of Orlando

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Check #1:
RECYCLE ORLANDO
Hauling Fee
$__________
Bag Donation $__________
MATERIAL CHECK LIST FORM
Total $__________
Check #2:
KEEP ORLANDO BEAUTIFUL
Deposit
Fee
$_________
Checked-Out to:
Event
Date
Contact Name
Organization
Address
Business Phone
Emergency Contact #
Cell Phone
Date Signed
Signature (Receiver):
Date Due:
Signature (Lender):
(trailer to site)
Out:
Condition √ Box
Responsible Party
Items
Initials of
Initials of
Damaged
Quantity
Good
Receiver
Lender
(see below)
Trailer
Bin Cart(s)
Bin Frames
Bin Lids
Aprons
Logo Buttons
Gloves
Date Due:
Signature (Receiver):
Date Returned
Signature (Lender):
)
(back to KOB
Condition √ Box
Responsible Party
Items
Initials of
Initials of
Damaged
Quantity
Good
Receiver
Lender
(see below)
Trailer
Bin Cart(s)
Bin Frames
Bin Lids
Aprons
Logo Buttons
Gloves
Describe any damage including scratches, dents, missing parts or if trailer or containers are dirty.
Hauling/Collection Instructions (attach site plan or additional instructions to this form).
*
*
See reverse side – Complete before returning supplies

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