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RECYCLING BUDGET <br /> • 4. Attach a copy of your 2015 municipal budget for all recycling activities,including all funding sources. If your governing <br /> body has not adopted the 2015 budget,attach the most current draft budget. If the budget does not list all expenditures and revenues <br /> specific to recycling,add a supplemental table that identifies this information. <br /> PUBLIC ENTITIES LAW COMPLIANCE <br /> 5. Attach a copy of the disclosure from your hauler(s),or a copy of the relevant portion of any contracts with haulers,that <br /> specifies the facility at which waste collected from municipal facilities is deposited. A hauler's generic waste disclosure form <br /> that lists multiple facilities where waste may be delivered is not acceptable. <br /> RESOLUTION <br /> 6. Attach a resolution from your governing body requesting the SCORE funding allocation,or a certified copy of the official <br /> proceedings at which the request was approved. SCORE grants agreements cannot be issued without such an attachment. <br /> Mary A.Springer <br /> NAME OF PERSON AUTHORIZED TO SUBMIT GRANT <br /> SIGNATURE(electronic signature is acceptable) <br /> Recycling Coordinator <br /> TITLE <br /> IDDecember 1,2014 <br /> DATE <br /> Applications will be considered complete when items 1—6 above are submitted and a signature is on file. <br /> Please return the completed grant application form and attachments by DECEMBER 1,2014. <br /> SCORE Program <br /> Saint Paul—Ramsey County Public Health <br /> Environmental Health Division <br /> 2785 White Bear Avenue N.,Suite 350 <br /> Maplewood,MN 55109-1320 <br /> Rachel.Frank(a)co.ramsey.mn.us <br />