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Attn:
3097Crestview, Fl 32536Email Link: Auburn Water System, Inc.([email protected] (Fax (
Please see the Rules and Regulations for more information. Go to
In the event a Customer is subject to an abnormally high billing asLeak Adjustment may be granted
To be eligible for an adjustment, the Customer
Select
Date
Name
Service Address
Mailing Address
Phone Number
Date of Repairs
Briefof leak
List repairs made
Your request will be rinformation
If a Courtesy Leak Adjustment is approved, itand you will
Signature:
* Attach proof of repairs in the form of copies of
Attn:
3097Crestview, Fl 32536Email Link: Auburn Water System, [email protected]
Phone (Fax (
Please see the Rules and Regulations for more information. Go to
In the event a Customer is subject to an abnormally high billing asLeak Adjustment may be granted
To be eligible for an adjustment, the Customer
1)
2)
3)
4)
Select
Date
Name
Service Address
Mailing Address
Phone Number
Date of Repairs
Briefof leak
List repairs made
Your request will be rinformation
If a Courtesy Leak Adjustment is approved, itand you will
Signature:
* Attach proof of repairs in the form of copies of
Attn: Billing
3097 Lock Ln.Crestview, Fl 32536Email Link: Auburn Water System, [email protected]
Phone (850Fax (850
Please see the Rules and Regulations for more information. Go to
In the event a Customer is subject to an abnormally high billing asLeak Adjustment may be granted
To be eligible for an adjustment, the Customer
1) Promptly
2) Provide
3) Not
4) Request must be made before bill is delinquent
Select Type of Leak:
of leak
Name
Service Address
Mailing Address
Phone Number
Date of Repairs
Brief descriptionof leak
List repairs made
Your request will be rinformation
If a Courtesy Leak Adjustment is approved, itand you will
Signature:
* Attach proof of repairs in the form of copies of
Billing
Lock Ln.Crestview, Fl 32536Email Link: Auburn Water System, [email protected]
850850) 398
Please see the Rules and Regulations for more information. Go to
In the event a Customer is subject to an abnormally high billing asLeak Adjustment may be granted
To be eligible for an adjustment, the Customer
Promptly
Provide
Not
Request must be made before bill is delinquent
Type of Leak:
of leak
Service Address
Mailing Address
Phone Number
Date of Repairs
description
List repairs made
Your request will be rinformation
If a Courtesy Leak Adjustment is approved, itand you will
Signature: ____________________________________
* Attach proof of repairs in the form of copies of
Billing
Lock Ln.Crestview, Fl 32536Email Link: Auburn Water System, [email protected]
850) 682398-
Please see the Rules and Regulations for more information. Go to
In the event a Customer is subject to an abnormally high billing asLeak Adjustment may be granted
To be eligible for an adjustment, the Customer
Promptly
Provide
Not have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
Type of Leak:
of leak
Service Address
Mailing Address
Phone Number
Date of Repairs
description
List repairs made
Your request will be rinformation provided;
If a Courtesy Leak Adjustment is approved, itand you will not
____________________________________
* Attach proof of repairs in the form of copies of
Billing Department
Lock Ln.Crestview, Fl 32536Email Link: Auburn Water System, [email protected]
682-1258 or (850) 682-6643
Please see the Rules and Regulations for more information. Go to
In the event a Customer is subject to an abnormally high billing asLeak Adjustment may be granted
To be eligible for an adjustment, the Customer
Promptly
Provide written
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
Type of Leak:
Service Address
Mailing Address
Phone Number
Date of Repairs
description
List repairs made
Your request will be rprovided;
If a Courtesy Leak Adjustment is approved, itnot be eligible for another
____________________________________
* Attach proof of repairs in the form of copies of
Department
Crestview, Fl 32536Email Link: Auburn Water System, [email protected]
1258 or (850) 6826643
Please see the Rules and Regulations for more information. Go to
In the event a Customer is subject to an abnormally high billing asLeak Adjustment may be granted
To be eligible for an adjustment, the Customer
Promptly and
written
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
Type of Leak:
Your request will be rprovided;
If a Courtesy Leak Adjustment is approved, itbe eligible for another
____________________________________
* Attach proof of repairs in the form of copies of
Department
Email Link: Auburn Water System, [email protected]
1258 or (850) 682
Please see the Rules and Regulations for more information. Go to
In the event a Customer is subject to an abnormally high billing asLeak Adjustment may be granted
To be eligible for an adjustment, the Customer
and properly
written *
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
Type of Leak: □ Toilet
Your request will be reviewed for possible adjustmentprovided; we will notify you within
If a Courtesy Leak Adjustment is approved, itbe eligible for another
____________________________________
* Attach proof of repairs in the form of copies of
Department
Email Link: Auburn Water System, [email protected]
1258 or (850) 682
Please see the Rules and Regulations for more information. Go to
In the event a Customer is subject to an abnormally high billing asLeak Adjustment may be granted
To be eligible for an adjustment, the Customer
properly
*proof of repairs
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
□ Toilet
eviewed for possible adjustmentwe will notify you within
If a Courtesy Leak Adjustment is approved, itbe eligible for another
____________________________________
* Attach proof of repairs in the form of copies of
REQUEST FOR COURTESY LEAK ADJUSTMENT
Department
Email Link: Auburn Water System, [email protected]
1258 or (850) 682
Please see the Rules and Regulations for more information. Go to
In the event a Customer is subject to an abnormally high billing asLeak Adjustment may be granted
To be eligible for an adjustment, the Customer
properly
proof of repairs
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
□ Toilet
eviewed for possible adjustmentwe will notify you within
If a Courtesy Leak Adjustment is approved, itbe eligible for another
____________________________________
* Attach proof of repairs in the form of copies of
REQUEST FOR COURTESY LEAK ADJUSTMENT
Email Link: Auburn Water System, [email protected]
1258 or (850) 682
Please see the Rules and Regulations for more information. Go to
In the event a Customer is subject to an abnormally high billing asLeak Adjustment may be granted.
To be eligible for an adjustment, the Customer
properly repair the leak when detected;
proof of repairs
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
□ Toilet
eviewed for possible adjustmentwe will notify you within
If a Courtesy Leak Adjustment is approved, itbe eligible for another
____________________________________
* Attach proof of repairs in the form of copies of
REQUEST FOR COURTESY LEAK ADJUSTMENT
Email Link: Auburn Water System, [email protected])
1258 or (850) 682-
Please read all
Please see the Rules and Regulations for more information. Go to
In the event a Customer is subject to an abnormally high billing as.
To be eligible for an adjustment, the Customer
repair the leak when detected;
proof of repairs
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
eviewed for possible adjustmentwe will notify you within
If a Courtesy Leak Adjustment is approved, itbe eligible for another
____________________________________
* Attach proof of repairs in the form of copies of
REQUEST FOR COURTESY LEAK ADJUSTMENT
Email Link: Auburn Water System, Inc.
-3413
Please read all
Please see the Rules and Regulations for more information. Go to(http://auburnwatersystem.com/wp
In the event a Customer is subject to an abnormally high billing as
To be eligible for an adjustment, the Customer
repair the leak when detected;
proof of repairs
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
□ Outside
eviewed for possible adjustmentwe will notify you within
If a Courtesy Leak Adjustment is approved, itbe eligible for another
____________________________________
* Attach proof of repairs in the form of copies of
REQUEST FOR COURTESY LEAK ADJUSTMENT
Email Link: Auburn Water System, Inc.
3413
Please read all
Please see the Rules and Regulations for more information. Go tohttp://auburnwatersystem.com/wp
In the event a Customer is subject to an abnormally high billing as
To be eligible for an adjustment, the Customer
repair the leak when detected;
proof of repairs to
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
□ Outside
eviewed for possible adjustmentwe will notify you within
If a Courtesy Leak Adjustment is approved, itbe eligible for another Courtesy
____________________________________
* Attach proof of repairs in the form of copies of
REQUEST FOR COURTESY LEAK ADJUSTMENT
Please read all
Please see the Rules and Regulations for more information. Go tohttp://auburnwatersystem.com/wp
In the event a Customer is subject to an abnormally high billing as
To be eligible for an adjustment, the Customer
repair the leak when detected;
to AWS
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
□ Outside
eviewed for possible adjustmentwe will notify you within
If a Courtesy Leak Adjustment is approved, itCourtesy
____________________________________
* Attach proof of repairs in the form of copies of
REQUEST FOR COURTESY LEAK ADJUSTMENT
Please read all
Please see the Rules and Regulations for more information. Go tohttp://auburnwatersystem.com/wp
In the event a Customer is subject to an abnormally high billing as
To be eligible for an adjustment, the Customer must
repair the leak when detected;
AWS
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
□ Outside
eviewed for possible adjustmentwe will notify you within two weeks if an adjustment has been approved.
If a Courtesy Leak Adjustment is approved, it onlyCourtesy
____________________________________
* Attach proof of repairs in the form of copies of
REQUEST FOR COURTESY LEAK ADJUSTMENT
Please read all requirements
Please see the Rules and Regulations for more information. Go tohttp://auburnwatersystem.com/wp
In the event a Customer is subject to an abnormally high billing as
must
repair the leak when detected;
AWS in the form of copies of
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
eviewed for possible adjustmenttwo weeks if an adjustment has been approved.
onlyCourtesy Leak Adjustment
____________________________________
* Attach proof of repairs in the form of copies of
REQUEST FOR COURTESY LEAK ADJUSTMENT
requirements
Please see the Rules and Regulations for more information. Go tohttp://auburnwatersystem.com/wp
In the event a Customer is subject to an abnormally high billing as
must:
repair the leak when detected;
in the form of copies of
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent
□ Irrigation
eviewed for possible adjustment basedtwo weeks if an adjustment has been approved.
includes usage over 15,0Leak Adjustment
____________________________________
* Attach proof of repairs in the form of copies of
REQUEST FOR COURTESY LEAK ADJUSTMENT
requirements
Please see the Rules and Regulations for more information. Go to Link: Auburn Water System, Inc.http://auburnwatersystem.com/wp
In the event a Customer is subject to an abnormally high billing as
:
repair the leak when detected;
in the form of copies of
have received a Courtesy Leak Adjustment from
Request must be made before bill is delinquent.
□ Irrigation
Account Number
basedtwo weeks if an adjustment has been approved.
includes usage over 15,0Leak Adjustment
____________________________________ Email address:
* Attach proof of repairs in the form of copies of receipts or an invoice
REQUEST FOR COURTESY LEAK ADJUSTMENT
requirements
Link: Auburn Water System, Inc.http://auburnwatersystem.com/wp
In the event a Customer is subject to an abnormally high billing as
repair the leak when detected;
in the form of copies of
have received a Courtesy Leak Adjustment from AWS
□ Irrigation
Account Number
based ontwo weeks if an adjustment has been approved.
includes usage over 15,0Leak Adjustment
Email address:
receipts or an invoice
REQUEST FOR COURTESY LEAK ADJUSTMENT
requirements and conditions
Link: Auburn Water System, Inc.http://auburnwatersystem.com/wp-
In the event a Customer is subject to an abnormally high billing as
repair the leak when detected;
in the form of copies of
AWS
□ Irrigation
Account Number
on accounttwo weeks if an adjustment has been approved.
includes usage over 15,0Leak Adjustment
Email address:
receipts or an invoice
REQUEST FOR COURTESY LEAK ADJUSTMENT
and conditions
Link: Auburn Water System, Inc.-content/uploads/2011/07/BYLAWS
In the event a Customer is subject to an abnormally high billing as a result of a loss caused by leak, a Courtesy
in the form of copies of
AWS within a 12
□ Inside
Account Number
accounttwo weeks if an adjustment has been approved.
includes usage over 15,0Leak Adjustment
Email address:
receipts or an invoice
REQUEST FOR COURTESY LEAK ADJUSTMENT
Today’s
and conditions
Link: Auburn Water System, Inc.content/uploads/2011/07/BYLAWS
a result of a loss caused by leak, a Courtesy
in the form of copies of
within a 12
□ Inside
Account Number
accounttwo weeks if an adjustment has been approved.
includes usage over 15,0Leak Adjustment for
Email address:
receipts or an invoice
REQUEST FOR COURTESY LEAK ADJUSTMENT
Today’s
and conditions
Link: Auburn Water System, Inc.content/uploads/2011/07/BYLAWS
a result of a loss caused by leak, a Courtesy
in the form of copies of
within a 12
□ Inside
Account Number
account history,two weeks if an adjustment has been approved.
includes usage over 15,0for a
Email address: __________
receipts or an invoice
REQUEST FOR COURTESY LEAK ADJUSTMENT
Today’s
and conditions
Link: Auburn Water System, Inc.content/uploads/2011/07/BYLAWS
a result of a loss caused by leak, a Courtesy
in the form of copies of receipts
within a 12
□ Inside
history,two weeks if an adjustment has been approved.
includes usage over 15,012
__________
receipts or an invoice
REQUEST FOR COURTESY LEAK ADJUSTMENT
Today’s Date:
and conditions
Link: Auburn Water System, Inc.content/uploads/2011/07/BYLAWS
a result of a loss caused by leak, a Courtesy
receipts
within a 12 month period
history,two weeks if an adjustment has been approved.
includes usage over 15,000 gallons at a lower leak ratemonth period.
__________
receipts or an invoice
REQUEST FOR COURTESY LEAK ADJUSTMENT
Date:
Link: Auburn Water System, Inc. - ByLaws, Rules & Regulationscontent/uploads/2011/07/BYLAWS
a result of a loss caused by leak, a Courtesy
receipts
month period
□
history, usage history andtwo weeks if an adjustment has been approved.
00 gallons at a lower leak ratemonth period.
__________
receipts or an invoice
REQUEST FOR COURTESY LEAK ADJUSTMENT
Date: _____________________
ByLaws, Rules & Regulationscontent/uploads/2011/07/BYLAWS
a result of a loss caused by leak, a Courtesy
receipts or an
month period
□ Other
usage history andtwo weeks if an adjustment has been approved.
00 gallons at a lower leak ratemonth period.
__________________________
receipts or an invoice.
_____________________
ByLaws, Rules & Regulationscontent/uploads/2011/07/BYLAWS
a result of a loss caused by leak, a Courtesy
or an
month period
Other
usage history andtwo weeks if an adjustment has been approved.
00 gallons at a lower leak ratemonth period.
________________
_____________________
ByLaws, Rules & Regulationscontent/uploads/2011/07/BYLAWS-amended
a result of a loss caused by leak, a Courtesy
or an invoice
month period.
Other _________________
usage history andtwo weeks if an adjustment has been approved.
00 gallons at a lower leak ratemonth period.
________________
(Updated
_____________________
ByLaws, Rules & Regulationsamended
a result of a loss caused by leak, a Courtesy
invoice
.
_________________
usage history andtwo weeks if an adjustment has been approved.
00 gallons at a lower leak rate
________________
(Updated
_____________________
ByLaws, Rules & Regulationsamended
a result of a loss caused by leak, a Courtesy
invoice; and
_________________
usage history andtwo weeks if an adjustment has been approved.
00 gallons at a lower leak rate
________________
(Updated
_____________________
ByLaws, Rules & Regulationsamended-7-18
a result of a loss caused by leak, a Courtesy
; and
_________________
usage history and the
00 gallons at a lower leak rate
________________
(Updated 10/23
_____________________
ByLaws, Rules & Regulations18-11.doc.pdf
a result of a loss caused by leak, a Courtesy
; and
_________________
the
00 gallons at a lower leak rate
______________________
10/23
_____________________
11.doc.pdf
a result of a loss caused by leak, a Courtesy
_________________
00 gallons at a lower leak rate
______
10/23/2014
_____________________
11.doc.pdf
a result of a loss caused by leak, a Courtesy
_________________
00 gallons at a lower leak rate
______
2014
_____________________
11.doc.pdf)
a result of a loss caused by leak, a Courtesy
_________________
______
2014)
