city of cherokee garbage service discontinue service agreement (minimum requirement three months) account number _________________

CITY OF CHEROKEE
GARBAGE SERVICE
DISCONTINUE SERVICE AGREEMENT
(Minimum Requirement Three Months)
Account Number ___________________ Date _______________________
Name________________________________________________________________
Address______________________________________________________________
Address to Discontinue
Service___________________________________________
Phone________________________ Cell Phone__________________________
Temporary Address____________________________________________________
City__________________________________State__________Zip______________
Beginning on _______________20___, I am requesting that the garbage
service at
the above stated location be discontinued
until_________________________, 20___.
During this time the property will be unoccupied and garbage service
will not be available or utilized. If the above time frame changes, it
is my responsibility to notify City Hall of such changes. I understand
that in order to have the garbage fee suspended there must be no water
usage on the meter. I understand that the garbage service fee will be
charged for the entire billing period in which the departure date
falls and for the entire billing period that includes the return date.
(The City pays Sanitary Services a flat fee for the entire billing
period even if the garbage is only picked up once during that month,
therefore we cannot pro-rate the monthly charge.)
To the best of my knowledge the above stated information is correct. I
agree with the terms of the agreement as set out above.
________________________________ ___________________________
Signature of Property Owner Date
________________________________ ___________________________
City Authorized Signature Date

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