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m SW_l <br /> <br />I FAC1LITY <br /> <br /> MINNESOTA DEPARTMENT OF <br />MIXED MUNICIPAL SOL1D WASTE FEE <br /> <br />LOCATION: CITY/TOWN <br /> <br />REVENUE <br /> <br />MONTHLY REPORT <br /> <br />COUNTY <br /> <br /> Facility Name and Address <br /> <br /> Anoka Sanitary Landfill <br /> 1.~730 Sunfish Lake Boulevard <br /> <br />Return for the Month of July <br /> <br />m1. <br /> <br />m <br /> <br />Minnesota Tax Identification Number <br /> 36-3695820 <br /> <br />, Year 1985 <br /> <br />FACILITIES THAT WEIGH THE WASTE - total pounds received during the month <br />of 10,960,000 Divide the total pounds received, by 600. <br />The result is cubic yards. Enter on line I. <br /> <br />FACILITIES THAT MEASURE THE WASTE - enter the total cubic yards received <br />during the month on line 2. <br /> <br />Total cubic yards received during the month. Add the amounts on lines 1 <br />and 2, and enter the result on line 3. <br /> <br />Total cubic yards of waste residue received from energy and resource <br />recovery facilities during the month of -- <br />Multiply this amount by 50% and enter on line 4. (ATTACH STATEMENT OF <br />EXEMPTIONS) <br /> <br />Total cubic yards of non-hazardous waste from metalcasting facilities and <br />other exempt material 30 yds. Enter the amount on line 5. <br />(ATTACH STATEMENT OF EXEMPTIONS) <br /> <br />I. 18,267 <br /> <br />50,662 <br /> <br />3. 68,923 <br /> <br />-0- <br /> <br />5. <br /> <br />I8. <br /> <br />Add the amounts on lines 4 and 5. Enter the total on line 6. <br /> <br />Substract the amount on line 6 from the amount on line 3. <br /> <br />result on line 7. <br /> <br />Multiply the amount on line 7 <br />by the following fees: <br /> <br />Enter the <br /> <br />Column A Column B <br />Computed Flat Fee <br />Amount Autos, Pickups, <br /> etc. <br /> <br />6. 80 <br /> <br />7. 68¢849 <br /> <br />Add the amounts in Columns A <br />and B, Lines SA, 8B and 8C. <br />This is the amount due each <br />agency. <br /> <br />A. Line 7 by $.50, State Fee $ 34,424.50 $ 1395.50 State Fee $ 3~,8~.0 <br /> <br />B. Line 7 by $.25, County Fee $ 17,212.25 $ 697.75 CountyFee $ 17,919 <br />C. Line 7 by $.15, City Fee $ t0,327.35 $ 418.65 ClTYFEE $ !0~746 <br /> <br />! declare, under the penalties of perjury and criminal liability for willfully making a false return, that this return <br />is true and complete to the best of my knowledge and belief. I confess judgment to the State of Minnesota for the tax <br />due if not timely paid. <br /> <br /> ..... ', ~'/ /.'/~' Controller Au.~st 13, 1~'~5 <br /> <br />Signature /. Title Date <br /> <br />PLEASE SEND THIS COPY TO THE CITY, ALONG illTH THE CITY FEE <br /> <br /> <br />