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, Crowe Horwath. <br /> Mr. Brian Dolan Page 12 <br /> October 27, 2015 <br /> Interim Year Rate Application <br /> Are you applying for an interim rate change at this tile? Yes X r No f <br /> If yes.complete Section 1 below,sign,and submit this application to the City <br /> If no,sign below,and submit this form to the City. <br /> ,f a 'Cliniijje�I'`r i T-•_�r.� <br /> Landfill <br /> /Facility Name) <br /> Change In Disposal Costa <br /> r <br /> Gramm Yoar Lanahll Tipping Poo Par Ton • $ 41 69 <br /> 2. MoiIpriadby Current Yam Eahmmod,Aciunl Landfill Disposal Tons $ 75,061 <br /> 3 Equals: Total Cullom Year Landfill Disposal Casts $ 3,130265 <br /> 4 Pro;ecicd Irvin im Year Landfill Tipping Coo Par Ton • $ 42.10 <br /> 5. Muapimdby Ploladnd Interim Yaar Landfill Disposal Tons $ (13,426 <br /> 6 Equals. Tatol Projected Inlanm Year Landfill Disposal Coale $ 3,511,014 <br /> 7 Pro;oclod Chango In Landfill Disposal Costs U 12 1014) <br /> 'Reprosents the consolidated dumping and lipping fee per ton <br /> Provide on explanation of any changes In disposal costs(i e,tipping fee rates paid to operator) <br /> Attach supporting documentation to this application as apen:1031o. <br /> Aflacllmente <br /> Shcodulo I Curren)(Base)Your Disposal Cost Schedule <br /> Schedule 2 Projected Inlcnm Year Disposal Cost Schedule <br /> 561,00 to 3 2015 Elmo Year Expenses Apphcablo for Roto Salting Pt/reason <br /> SUedufo 1 Labor Composite Index <br /> Schedulo 5 amoral CPI Index <br /> Schedulo 6 Intonm Your Rata Change Worksheet <br /> Exhlsl A Refuse Collodion 8 Recycling Scrvieo Roles <br /> ,Ate• <br /> To Ihu host of ow Imoaedgo,dm data and Intounnilon hl this imposition Is unlatcto,mond,nod <br /> consistent vnill Ihu Inshochuns ouovolud by!he City of PIC:3.111011 <br /> Nn1n0, Reboil Marano / hue President <br /> Sigietln 0 VV/•//rr/%A,1• / PVL.-1%4,— Data AUGUST 20,2015 <br /> Year. 206 Pagel of 1 <br /> Draft—For Discussion Purposes <br />