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ITD 02863 (Rev. 5/01)

Idaho Adopt-A-Highway Equipment Return

Volunteer Group Name:
Date of Litter Pickup:
Number of Participants:
Number of Bags Filled:
Total Hours Spent on Pickup:
Assistance Needed:


Page Last Modified: 5/22/2006 4:21:21 PM

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Idaho Transportation Department
3311 W. State Street ยท P.O. Box 7129
Boise, ID 83707-1129