[UTILITY name]
[Address]
[Toll-free number]
Customer Name: | ________________________________________ |
Address: | ________________________________________ |
City, State, Zip: | ________________________________________ |
Account#: | ________________________________________ |
Customer has been sent a final notice of termination. If the total payment due of $XX.XX is not paid by MM/DD/YYYY, termination of service may occur anytime after MM/DD/YYYY.
Download one of the following files to use in your Word Processor:
NOTIFICATION_TO_SS.rtf