Village of South Jacksonville Water Department 301 Dewey Drive S. Jacksonville, IL 62650 217-245-4803 PRIMARY APPLICATION INFORMATION Name____________________________________________________ Service Address____________________________________________ Closing Date________________ or Rent Start Date_______________ Home/Cell_________________ Work__________________________ Driver’s License #__________________________________________ *There is a $100 security deposit that is due to start services. *Water bills are mailed out the first of the month. If the first falls on a weekend, water bills will go out a day before or after the first. *Water payments are due on the 15th of month by 5pm. Any bill not paid in full by that time will assess a late fee on the 16th. If you haven’t received a bill at least by the tenth feel free to call us, we can let you know your account balance. *Any bills not paid within 45 days from the issue date will have services shut off and assess a $100 free to be paid in conjunction with the bill in full for reconnection of service. I agree to follow all Village of South Jacksonville rules for utility service. Falsifying information contained in this application is violation of village ordinances. Signature____________________________ Date_________________
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