Fillable Form 60: RESIDENTIAL CONTRACT FOR SERVICE (City of Saint Peter)

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Form 60: RESIDENTIAL CONTRACT FOR SERVICE (City of Saint Peter)

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The Form 60: RESIDENTIAL CONTRACT FOR SERVICE (City of Saint Peter) form is 1 page long and contains:

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  • 5 check-boxes
  • 23 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Saint Peter

BROWSE CITY OF SAINT PETER (MN) FORMS

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RESIDENTIAL CONTRACT FOR SERVICE
ST.
PETER
FINANCE
DEPARTMENT
227 S. FRONT
ST.
PETER,
MN
56082
PHONE (507)
934-0664
LAST
APPLICATION
DAT
__
________
_
EFFECTIVE
DATE
__________
_
SOCIAL
SECURITY#
---------,-----
·
DRIVER'S LICENSE
#
DOB
______________
_
FIRST
FULL MIDDLE
SPOUSE
SERVICE ADDRESS
APT.
#
---------'----------------
---
PHONE
E-MAIL
---
OWNERD
TENANT0
DEPOSIT$
_________________
_
PROPERTY!TRAILER OWNER
____________
_
_________
~
_
REFUSE TYPE Full Service 90 D
60
D VOLUME BASED D
Name
Address
City/State/Zip
Phone
NEAREST RELATIVE
EMPLOYER NAME
Name
____________
~~
Address
_____________
_
City/State/Zip
___________
_
Phone _ _
___________
_
CUSTOMER'S
SIGNATURE
_____________________
_
.
..
.
....
.....
..........
.
....
.......
......
.......
.....
...
..
.
.....
.
.....
.
...............................................................................................................................
...
....
.
?!'.".~~~-~-~~.?.~.17..
.....
ACCOUNT NUMBER
AMOUNT RETURNED
__
DATE
Please return completed and signed Contract for Service along with a $100 Deposit (if you
are a tenant) to the Finance Department:
Drop box at City Hall located at 227 S. Front Street
Mail to: City of Saint Peter
Finance Department
227 S. Front Street
Saint Peter, MN 56082
Email to: jow@saintpetermn.gov
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Form 60: RESIDENTIAL CONTRACT FOR SERVICE (City of Saint Peter)

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Completed 16 July 2020

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