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OFFICE USE ONLY Identification Deposit/Act. Service Order CITY OF WRAY APPLICATION FOR UTILITY SERVICE 245 W 4TH - PO BOX 35 - WRAY CO 80758 - 970 332-4431 APPLICANT SERVICE ADDRESS MAILING ADDRESS CITY STATE ZIP DATE OF BIRTH HOME PHONE SOCIAL SECURITY NUMBER DRIVER S LICENSE NUMBER STATE EMPLOYER NAME/ /PHONE HAVE YOU HAD UTILITIES WITH THE CITY OF WRAY IN THE PAST NO YES IF SO PLEASE GIVE THE YEAR OF SERVICE. BANK NAME TYPE OF SERVICE REQUESTED RESIDENTIAL COMMERCIAL NEXT OF KIN NOT LIVING IN SAME HOUSEHOLD NAME ADDRESS PHONE NUMBER DATE TO BEGIN SERVICE I authorize the following person s to have full access to my account. I do hereby certify that I am the above named applicant and that I will be responsible for payment of utility services provided at the above address from the requested date of service until I have properly notified the City of Wray to discontinue said service and that any utility deposit will be returned to me after the final bill has been paid in full* Failure to....

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232