SOUTHERN RIDGE_0008.tif i
Acknowledgement of Mowing
By signing below, I acknowledge that the property listed on the other side of this
form has been mowed by me or someone working for axle; that no damage was
done to any structures located on the property; that no grass clippings or other
debris have been left on sidewalks, in the street or alleys; and that any yellow
Nuisance Violation signs put up by the city still in the yard have been returned to
city hall.
i
I also acknowledge that I was contracted by the City of Blair to mow this property
i
for the fee listed on Line 9 on the other side of this form, and that this form
i
constitutes my invoice for work done on behalf of the City of Blair.
Date t City of Blair Accounting Code: 01- 019 -5261
Name (printed)
Company Name (printed)
Address (printed)
Signature
I
i
i
SXomplaintsNowing -Sign Post\Authorization to Mow Form.docx Updated 5/28/2013
I
i