P. O. Box 850500 Yukon, OK 73085 T: 405.354.4317 F: 405.350.5570 www.cityofyukonok.gov
SURRENDER OF COMMERCIAL DUMPSTER
Agreement made on ________ day of ________________, 20____, by and between
________________________________, and the City of Yukon (CITY) and the Yukon
Municipal Authority (AUTHORITY).
I, ______________________________, owner(s), of a commercial dumpster with a
street address of ________________________________________________ do hereby
surrender the commercial dumpster to CITY and the AUTHORITY. The CITY and
the AUTHORITY may take the commercial dumpster and is hereby released from
any claim I may have to the commercial dumpster.
IN WITNESS WHEREOF, the parties hereto have executed this license on the date
first above written.
____________________________________ ____________________________________
Print Name of Commercial Dumpster Owner Print Name of Commercial Dumpster Co-Owner
____________________________________ ____________________________________
Signature Signature