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Charlotte
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Neighborhood & Business Services
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Keep Charlotte Beautiful
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Clean Up Report
Keep Charlotte Beautiful Clean-Up Report
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If you have any photos of your clean-up, send them to
kcb@charlottenc.gov
.
Keep Charlotte Beautiful Cleanup Report
Group Name
Name of City Street(s)
Date of Cleanup
Number of Participants
Work Hours Per Person
Number of Trash Bags
Did you use trash bags provided by Keep Charlotte Beautiful or another City Department?
Yes
No
Did you use orange safety vests for your cleanup?
Yes
No
If so, did you obtain the vests from Keep Charlotte Beautiful or another City Department?
Yes
No
Did you call Special Services to pickup the bags of trash from the cleanup?
Yes
No
Did you experience any problems during the Cleanup?
Yes
No
If so, please explain:
Did you locate or remove any unusual items?
Yes
No
If so, please describe the items:
Do you have any additional comments or information?
Name of Volunteer
Address
Phone
Email
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