TOWN OF VANCEBORO WATER AND. SEWER SERVICE APPLICATIONICUSTOMER AGREEMENT Deposit Required: Name: Address: $150.00- $50 Non-refundable Admin. Fee) $100 (Refundable Deposit) Make checks payable to: TOWN OF VANCEBORO Today's Date: Social Security/Fed ID#: Phone# Days: (personr responsiblef fora account) Vanceboro, NC 28586 Nights: Date to begin Water & Sewer Service: Is there a swimming pool at this address? YES Billing Address (if different from service address): NO #of people in household: Ify you are the Owner: Is this a newly constructed home? Name of former owner: Ifyou are the Renter: Name of the landlord: Address oft the landlord: YES NO AGREEMENT TO ESTABLISH A WATER, SEWER & GARBAGE. ACCOUNT The deposit and signed Application/Customer Agreement are due before the water, sewer and garbage service The Town of Vanceboro will invoice you monthly for services. Alli invoices are due by the 10th day of the month. On the 11th day, penalities will be added. Payment may be mailed to Town Hall, P.O. Box 306, Vanceboro, NC 28586 or paid in person between 9:00 a.m. - 5:00 p.m. Monday Friday. For after hours, there is a drop box conveniently located at Town Hall, 7905 Main Street. You may also pay online at omicapayments.com using jurisdication code Water Service willl be disconnected if payment is not made by the 1st of the following month. Af fee of $75.00 willl be assessed for reconnection ofWater Service. AIl past due balances plus reconnection fee must be paid The water meter is the property of the Town of Vanceboro. Tampering with a meter has a $500 fine. Garbage is picked up on Friday. Garbage must bei in the green Waste Industries waste receptacle and placed at Ifyou have any questions regarding Water, Sewer or Garbage services or billing, please contact Town Hall at begins. The deposit will be credited toy your final bill. #3965. ini full before reconnection. the road by 7:00 a.m. Please move trash bin back to home after pickup. (252)244-0919. Ihave read and understand the conditions above. Person responsible for account: Date: THE TOWN OF VANCEBORO IS AN EQUAL OPPORTUNITY PROVIDER, AND EMPLOYER.