BUSINESS PHONE: CELL NUMBER:
OFFICE USE ONLY:
Application date:
Current Bus Lic#_______( if appli.)
Trash ONLY Y N If yes:
Can/Bin Size_____________
Bulk Meter Only (attach Bulk Meter
Application)
Mailing Address: (If different from above)
Have you had previous service with the Village of Los Lunas? Yes No
If yes, previous address and Business name on account:
Emergency Contact Name: Phone Number:
Type of Account: Owner Lessee
Please provide the following: Property ownership Papers / Lease or Rental Agreement
VILLAGE OF LOS LUNAS
APPLICATION FOR WATER/SEWER/REFUSE SERVICE
P.O. BOX 1209 660 MAIN ST NW
LOS LUNAS, NM 87031
PHONE: 505-839-3841 FAX: 505-352-3599
APPLICANT INFORMATION for BUSINESS/COMMERCIAL ACCOUNTS
Company Name: (Please print)
PLEASE READ THE FOLLOWING TERMS OF APPLICATION AND SERVICE
1. Meter Deposit Fees: To establish a water, sewer and/or garbage account, every customer shall complete an application with the Village of Los
Lunas Utility Division in a timely manner. All new commercial accounts shall provide a deposit of one hundred dollars ($100.00) for services,
twenty-one hundred fifty dollars ($2000.00 + $150.00 connection fee) for bulk meters, and one hundred dollars ($100.00) for approved trash only
services.
2. Payment Due: All bills for service are due on the 1st day of the month; payments received after the ninth day of the month will be considered in
arrears and subject to late fees of 10% of the balance owing.
3. Reconnection Charges: Any customer whose service is disconnected for nonpayment will be required to pay a reconnection fee of fifteen dollars
($15.00) in addition to all other fees and charges before being reconnected to the utility.
4. Tampering Charges: Any customer in violation of Ordinance 13.04.080 tampering with the meter will be assessed a fine of not less than one
hundred fifty dollars ($150.00) or no more than five hundred dollars ($500.00) per day.
5. Returned Check Charge: Any payment method returned for any reason will be assessed a twenty-five dollar ($25.00) service charge! You will be
required to pay the amount of the returned item plus the returned item fee in cash or by money order. (Returned checks cannot be redeposited! If
notice of three checks have been returned, checks will no longer be accepted as payment on the account.)
6. Trash: Please contact The Utility Division for bin cost and lease options available. ORD.8.12.090 D
7. Sewer: Charges for sewer are based on the billed amount of water usage each month. ORD 13.08.120 C.
8. Final Bills: It is the responsibility of the account holder to advise the Village Utility Billing Division 10 days prior to vacating the premises of the
business to generate a final bill to close the account. Your deposit will be applied to your final bill. All final bills are due upon receipt.
I have read and agree to the terms of application ____ (Please initial) Refer to ORD Chapter 13.04 for complete terms and conditions
I have read and agree to the terms of application.___________ (Please Initial) Refer to ORD Chapter 13.04 for complete terms and conditions
OFFICE USE ONLY
Meter Number
Reading
Fees Paid $
Account Number
Receipt Number
Service Address
SERVICE ADDRESS:
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