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Document Gilbert_doc_95c59da76b

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CITY OF GILBERT UTILITY SERVICE APPLICATION – MOVE IN Service begins once deposit is paid in full. Utility service through the City of Gilbert includes: water (WA), sewer (SW), sanitary sewer (SS), and resource recovery/ landfill (RR) charges. Utility bills are due on the 15th of every month or the next business day, when the 15th falls upon a weekend or holiday. Automatic withdrawal of utility payments is available. Inquire at City Hall for this service. If you choose to pay your utility bill thorough an online bank pay system or an electronic check please address your payments to: City of Gilbert PO Box 29 Gilbert, IA 50105 Personal information is kept confidential and used for the sole purpose of collecting payments on services provided. OFFICE USE ONLY: ACCOUNT NUMBER: DEPOSIT ($100.00) METER READING: DATE: PROCESSED: MOVE IN DATE: CURRENT DATE: NAME: STREET ADDRESS: MAILING ADDRESS: PHONE: WORK PHONE: SOCIAL SECURITY NUMBER (REQUIRED): OWNER OR LANDLORD: OWNER/LANDLORD ADDRESS: OWNER/ LANDLORD PHONE: