293-22 Exhibit A.pdf

Annual Product Class Volume (cubic yards) Inbound B/C Leaves C Brush B Logs B Mixed Vegetative B Woodchips B Stumps B Spring Clean-Up B Christmas Trees B Total For Year C Total For Year B Monthly Inbound (Total) October Class C Class B November Class C Class B December Class C Class B January Class C Class B February Class C Class B March Class C Class B April Class C Class B May Class C Class B June Class C Class B July Class C Class B August Class C Class B

September Class C Class B Annual Outbound Class Volume (cubic yards) B/C Leaves C Brush B Logs B Mixed Vegetative B Woodchips B Stumps B Spring Clean-Up B Christmas Trees B Total For Year C Total For Year B Monthly Outbound (Total) October Class C Class B November Class C Class B December Class C Class B January Class C Class B February Class C Class B March Class C Class B April Class C Class B May Class C Class B June Class C Class B July Class C

Class B August Class C Class B September Class C Class B I hereby certify that the information provided on this form is accurate to the best of my knowledge. I acknowledge and agree that the Township of West Orange shall rely upon the information provided in this form and that any willful misstatement as to the information provided on this form shall be actionable by the Township of West Orange. Signature Name (Printed) Date