2. I would like to report to the Sanitation Division that the City owned trash can assigned to the property listed below has been stolen or is missing.
4. Address of Stolen/Missing Can(s)
6. Date of Stolen/Missing Can(s)
   Date of Stolen/Missing Can(s)
7. Number of Cans Missing
9. Explanation
11. Signature
13. Print Name
15. Today’s Date
    Today’s Date
17. Phone
19. Return This Form To:
    Sanitation Division
    301 Washington Avenue
    Room 413
    Bay City, MI 48707
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

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