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3. Address*
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8. ONLY ITEMS LISTED BELOW (NO MORE THAN 5) WILL BE PICKED UP ON THE LAST WEDNESDAY OF THE MONTH.  PLEASE PLACE CURBSIDE THE EVENING BEFORE PICKUP.  FOR MORE INFORMATION ON WHAT CAN AND CANNOT BE COLLECTED, PLEASE READ THE INFORMATION ON THIS PAGE. 

10. 1.*
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16. 5.
18. This pick up request is for the last Wednesday of _________________.*
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