Village of Farmingdale
P.O. Box 220 ∙ 361 Main Street ∙ Farmingdale, New York 11735
Tel: 516-249-0093 ∙ Fax: 516-249-0355
www.farmingdalevillage.com
FINAL WATER BILL APPLICATION
Name of Current Owner: __________________________________________________________
Address: _____________________________________ Telephone: __________________
*Date of Final Reading: ______________________________________
*ONCE A FINAL BILL IS GENERATED THE READING IS GOOD FOR TWO (2) WEEKS.
( ) Picking up bill on _________________________________
Date
( ) Forward Bill to:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Signature of Current Owner: ______________________________
F:\WPDOCS\VILLAGE HALL FORMS\FINAL WATER BILL REQUEST.doc