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W. <br />RECYCLING BUDGET <br />3. Attach a copy of your 2010 municipal budget for all recycling activities, including all funding sources. If your governing <br />body has not adopted the budget, attach the most current draft budget. <br />PUBLIC ENTITIES LAW COMPLIANCE <br />4. Attach a copy of the disclosure from your hauler(s), or a copy of the relevant portion of any contracts with haulers, that specifies <br />the facility at which waste collected from municipal facilities is deposited. Minn. Stat. § 115A.9302 requires haulers to disclose this <br />information to customers annually. <br />RESOLUTION <br />5. 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 />Kim Moore -Sykes <br />NAME OF PERSON AUTHORIZED TO SUBMIT GRANT <br />Kiwi moore-'Swees <br />SIGNATURE (electronic signature is acceptable) <br />Assistant City Manager <br />TITLE <br />November 30, 2009 <br />DATE <br />Applications will be considered complete when items 1 — 5 above are submitted and a signature is on file. <br />Please return the completed grant application form by DECEMBER 1, 2009. <br />SCORE Program <br />Saint Paul — Ramsey County Department of Public Health <br />Environmental Health Section <br />2785 White Bear Avenue N., Suite 350 <br />Maplewood, MN 55109-1320 <br />