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LARIMER COUNTY | SOLID WASTE
5887 S Taft Hill Rd, Fort Collins, Colorado 80526, 970.498.5760, www.Larimer.org/solidwaste
ELECTRONIC BILLING FORM
Date: __________
Company Name: _______________________________________________________
Landfill Account number: ________
Email for daily tickets:
Email for monthly billing:
Phone number: ________________________________________________________
Current Mailing Address: _________________________________________________
Names authorized to receive account information:
Signature of authorized account holder:
Please return completed form to: solidwasteadmin@larimer.org Or
Fax: 970-498-5780 Or mail:
Larimer County Solid Waste
5887 S Taft Hill Rd
Fort Collins CO 80526
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