CITY OF LEOTI UTILITY SERVICE AGREEMENTUtility Service Agreement • March 21st, 2014
Contract Type FiledMarch 21st, 2014Account Information Please provide the following information, which is required prior to establishing an account and providing initial service. Property Address: Initial Service Date: Applicant’s Name: Co-Applicant’s Name: Applicant’s Social Security Number Co-Applicant’s Social Security Number Phone Number Alternate Phone Number Do you prefer your utility bill by: Mail Paperless by E-Mail Billing Address: E-Mail:
CITY OF LEOTI UTILITY SERVICE AGREEMENTUtility Service Agreement • March 21st, 2014
Contract Type FiledMarch 21st, 2014Account Information Please provide the following information, which is required prior to establishing an account and providing initial service. Property Address: Initial Service Date: Applicant’s Name: Co-Applicant’s Name: Applicant’s Social Security Number Co-Applicant’s Social Security Number Phone Number Alternate Phone Number Do you prefer your utility bill by: Mail Paperless by E-Mail Billing Address: E-Mail: