Country Estates-WO 940222 CITY OF COPPELb
WATER BILLING DEPARTMENT
SERVICE WORK ORDER
DATE FOR SERVICE
TURN ON /
TURN OFF
GET READING
Wi-PAD LOCK V
ACCOUNTI~
HOME
WORK PIll/
OTIIER (see comments)
RE-READ
SERVICE A RESS
~ETER NU~ER
METER READER
NATHAN D. MAIER
NDM-.' ~j~;)NSULTING ENGINEERS, IN ~C~.~,..~
I Future
MIKE DANIEL, P.E., R.P.L.S.
i'HR.E~ NOIC~l.~PARK/8800 N. C~ffRRL EXPU~./SUr~ 300
DALI.RS, TEXAS 75231/(214) 739-4741
[TY OF COPPELL
~ATER ACCOUNT
7ICE APPLICATION
MAILING ADDRESS O~D~(~ ~'q, '~-~n'~ (~7'¢CJ-U,~'L%-~ ~
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SERVICE NEEDED wATER ~ sEwER~. '~ - GArAGe.
DL# FEMALE
WORK#
DEPOSIT OUNqt %r5.
SENIOR CITIZEN (yes~
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NOMS#
CHECKTRONIC Code__ Ref.#
NAME OF PREVIOUS RESIDENT
1.
TERMS OF SERVICE
If you do not receive your bill by the third day after your bill
has been mailed, please notify Water Billing Department by
calling 462-0023. We have two billing cycles. Cycle 1 goes out
at the end of each month and cycle 2 goes out on the 15th of
each month. You are in cycle __
Bills are due on the 20th for cycle 1 and the 5th for cycle 2.
After the due date a 10% penalty is assessed and a blue notice is
mailed out giving the customer approximately ten days to pay
their water bill before their water is disconnected. A $20.00
reconnect fee will be added to the delinquent balance.
Delinquent balance and reconnect fee will have to be paid before
water can be reconnected.
e
A $15.00 returned check fee will be assessed for any check that
is returned to our office unpaid.
When a customer has a leak on their side of the meter, they are
responsible for repairing the leak and paying for the water loss.
SIGNATURE ACKNOWLEDGES CUSTOMERS UNDERSTANDING AND AGREEMENT TO TERMS
'OF/~EEVICE
Customer's Signature ' date
CITY OF COPPELL
WATER BILLING DEPARTMENT
SERVICE WORK ORDER
DATE FOR SERVICE
TURN ON
TURN OFF.__
RE-READ
SERVICE ADDRESS
GET READING ~
PAD LOCK
OTHER (see comments)
METER NUMBER
READING
METER READER
COMMENTS FROM READER
I{OME P}II
WORK PIllt
COMMENTS FROM BILLING CLERK
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