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City of Jacksonville Pickup Report
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Organization Name
Date of Pickup
Date of Pickup
Which area did you pick - up?
Which Program?
Trail
Stream
Street
Full Name
Phone Number
Email Address
Has Sanitation been contacted already?
Yes
No
Where are the bags located for pickup?
Total number of bags to be picked up
How many participated in the pickup?
Total number of hours per person who participated
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