Callahan-CS030416:COPPELL
CITY OF COPPELL
WATER ACCOUNT
SERVICE APPLIC-A'TION
Re£#
/1,? /~ //~,./ ff~..~-~/~.,f/'~) PETS(YES OR ~ TERMS OF SERVICE
If you do not receive your bill by the third day after it has been mailed, please notify the Water Billing Department
by calling #304-3~95. We have two billing cycles. Cycle #1 bills are mailed out at the end of each month, and, Cycle
#2 bills are mailed out the 15th o,f eacb m.//nth. You are in Cycle
Bills are due on the 20th for Cycle #1 and the 5th for Cycle #2. After the due da~ a 10% penalty is assessed and a
blue delinquent notice is mailed out giving the customer approximately ten days to pay the/r water bill before it is dis-
connected, A $20.00 reconnect fee will be added to the delinquent balance. The delinquent balance and reconnect fee
must be paid before the water can be reconnected.
A $15.00 returned check fee will Be assessed for any'check returaed to our office unpaid.
When a customer has a leak on' their sid~ of the meter, they are responsible for ~ePairing the leak and paying-
for the water lo~s.
SIGNATURE ACKNOWLEDGES CUSTOMER'S UNDERSTANDING AND AGREEMENT TO THE TERMS OF SER-
Customer's Signature /Date' / ,