APPENDIX #5. UTILITY SHUTOFF HEATING NOTICE.
   This notice is being sent to you pursuant to the provisions of Chapter 54 of the code of ordinances as adopted by the corporate authorities.
CUSTOMER’S NAME: _____________________________________________________________
ADDRESS: ______________________________________________________________________
TOTAL AMOUNT OF BILL:   $________________ WATER
               $________________ SEWER
               $________________ OTHER
                           SUB-TOTAL:   $________________
                           PENALTY:   $________________
                           TOTAL DUE:   $________________
DATE OF HEARING ___________________________________
TIME OF HEARING ___________________________________
LOCATION OF HEARING _________________________________________________________
_________________________________________________________
PHONE _____________________________________________
   If the consumer/customer fails to appear at the hearing, the applicable utility services shall be terminated (shut off) without further proceedings.
   If payment for the charges and fees is received prior to the date of the hearing, you may disregard this hearing notice.
   The President and Village Clerk, or their designated representative(s), shall preside at the hearing.
                                 _________________________________________
   VILLAGE CLERK
   DATED THIS _______ DAY OF ________, 20_______.
NOTE:   After services have been shut off, there will be a reconnection fee of $______________.