NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS … · NEW MEXICO WATER SERVICE COMPANY CYPRESS...
Transcript of NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS … · NEW MEXICO WATER SERVICE COMPANY CYPRESS...
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Advice No.7
NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
ADVICE NOTICE
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o rE~(E~W[Erm ~U~_2 9 .~~lVJ
NM ~UBUC HEGULATION COMMiSSION RECORDS rv~GHJ1ENT BUREAU .-- "". .
Date: July 28,2010
NEW MEXICO PUBLIC REGULATION COMMISSION
New Mexico Water Service Company hereby gives notice to the public and the Commission of the filing and publishing ofthe following tariff schedules, which are attached hereto:
Rate No. Title Third General Metered Service
Revised Rate No.1
EFFECTIVE
Cancelin2 Rate No. Date Effective Second Revised Rate No.1 July 1,2010
ADVICE NOTICE NO.7 NEW MEXICO WATER SERVICE CO.
• AUG 28 2010 REPLACED BY NMPRC
BY Operation of Olw .. liiS'HilF'i'l ~
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NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
O~llUL[E
Rate No.
Third Revised Rate No.1
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3
EFFECTIVE AUG 28 2010
REPLACED BY NMPRC BY Operation « 18w.
RATE SCHEDULES
TABLE OF CONTENTS
Title
General Metered Service
Service Connection Charge
Other Charges
NM PUBLIC FJ::GULATION COMMISSION RECORDS IV1M~AGEfVlENT BUREAU
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ADVICE NOTICE NO.7 NEW MEXICO WATER SERVICE CO.
Cynthia Geran, Controller
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!£ Ion NEW MEXICO WATER SERVICE COMPANY
CYPRESS GARDENS WATER SYSTEM THIRD REVISED RATE NO.1
CANCELING SECOND REVISED RATE NO.1
,;' ULJH1(jN .> lSS!ON
GENERAL METERED SERVICE An 11 53
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APPLICABILITY: Applicable to all meter installations. Service will be furnished in accordance with the
following stipulations and in accordance with the Company's General Rules, terms and conditions available at the Company's office and on file with the New Mexico Public Regulation Commission, which General Rules or subsequent revisions thereof are a part of this schedule as is fully written.
TERRITORY: Cypress Gardens Subdivision.
MONTHLY RATES:
Customer Charge: $13.40
Plus Commodity Charge:
1-8,000 gallons -Over 8,000 gallons -
$1.34 per 1,000 gallons, prorated per 100 gallons $1.81 per 1,000 gallons, prorated per 100 gallons
The Monthly Customer Charge is applicable each month to each customer whether or nota customer uses any water.
MONTHLY MINIMUM: Customer Charge plus applicable taxes.
TERMS OF PAYMENT: All bills under this rate are due and payable when rendered and become delinquent
twenty (20) calendar days thereafter.
TERMS AND CONDITIONS: New Mexico Water Service Co.'s filed rules apply to service under this schedule.
TAX ADJUSTMENT CLAUSE: Billings under this schedule may be increased by an amount equal to the taxes payable
under the Gross Receipts and Compensation Tax Act and all other taxes, fees or charges
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(exclusive of ad valorem taxes and state and federal income taxes) payable by New Mexico Water Service Co. and levied or assessed by any governmental authority on the utility service rendered, or on the right or privilege of rendering the service, or on any object or event incidental to the rendition of this service.
• EFFECTIVE AUG 28 2010
REPLACED BY NMPRC
ADVICE NOTICE NO.7 EXICO WATER SERVICE CO .
BY Doaratloft it OM
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NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
ADVICE NOTICE
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Advice No. 6 Date: July 28, 2010
NEW MEXICO PUBLIC REGULATION COMMISSION
f5)i [E (G [E ~ W [E fRI ~:~ 2010 lW
NM PUBLIC REGULATION COMMISSION RECORDS MANAGEMENT BUREAU
New Mexico Water Service Company hereby gives notice to the public and the Commission of the filing and publishing of the following sample forms, which are attached hereto:
Form No.
First Revised Form No.1
First Revised Form No.2
First Revised Form No.3
First Revised Form No.4
First Revised Form No.5
First Revised Form No.6
First Revised Form No.7
First Revised Form No.8
First Revised Form No.9
Original Form No. 10
EFFECTIVE AUG 28 2010
REPLACED BY NMPRC
Title of Sheet Canceling Form Date No. Effective
Billing Form Original Form No. July 1, 2010 1
Statement Form Original Form No. July 1, 2010 2
Application for Service Original Form No. July 1, 2010
Door Hanger
Late Notice Page 1
Late Notice Page 2
Deferred Payment Agreement Security Deposit
Medical Certificate
Landlord Reversion
3 Original Form No. July 1, 2010
4 Original Form No. July 1, 2010
5 Original Form No. July 1,2010
6 Original Form No. July 1, 2010
7 Original Form No. July 1,2010
8 Original Form No. July 1,2010
9 July 1,2010
ADVICE NOTICE NO.6 NEW MEXICO WATER SERVICE CO.
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NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
Form No. First Revised Form No. 1 First Revised Form No.2 First Revised Form No.3 First Revised Form No.4 First Revised Form No.5 First Revised Form No.6 First Revised Form No.7 First Revised Form No.8 First Revised Form No.9
Original Form No. 10
EFFECTIVE AUG 28 2010
REPLACED BY NMPRC
SAMPLE FORMS
TABLE OF CONTENTS
Title Billing Form Statement Form Application for Service Door Hanger Late Notice Page 1 Late Notice Page 2 Deferred Payment Agreement Security Deposit Medical Certificate Landlord Reversion
NM PUBLIC HEGULATION COMMISSION RECORDS MAN;"GEMENT BUREAU
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ADVICE NOTICE NO.6 NEW MEXICO WATER SERVICE CO .
BY Operatjon of I aw R
I HCXfCO r' ,
UV~Tj6N NEW MEXICO WATER SERVICE COMPANY :;!OiJ •
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EFFECTIVE • AUG 28 2010
REPLACED BY NMPRC BY Operation of Law
CYPRESS GARDENS WATER SYSTEM :1 FIRST REVISED FORM NO.1
CANCELING ORIGINAL FORM NO. 1 ,t"\UL 2~l nrl 11 52 BILLING FORM
I'!EW MEXICO WATER SERVICE COMPANY
Customer Name: Illllln9 Dale: Account Number:
Important Customer Messages
ServTce AddreSs:
UsagaHistory
~ Local Phone # Local Street Address Local Office City, State
Account Summary as of • . Current Charges. Waler: Metered i CurrentChar;;es·Sewer tlSublola1 ,
Prlgr p~lance· Past OU~
Past Due Amount· "Due Now· Currenl Charges - DUe I
Blew Servfcefrom . servlct«.harge
KaAL'aI $ KGAL RFOcmrga Tax Water ConservaUon Fee PReFaa
CustlD:
Page 1 or
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Meter CtircentMelefRead . P,evious Ma\e(Read ToIBI
U ....
NextScfleduled
RudDela 10 Date! Re2l~ Date Reading --- m SeWer ServIce from
Rasklanlfal sewer 6'IC. charge KGAL! at $ KGAt.
RFOsurcredit T .. PReFea
n.,I,I ... 1II .1I1I1I1Jf1111lJ1II.11I11I",II'I,,1I
RerURN ACCRESS: NewMexk:oVllaterserka Company p,o.Box245 Bephant Butte, NM B793S0245
ADVICE NOTICE NO.6 NEW MEXICO WATER SERVICE CO.
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NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
FIRST REVISED FORM NO.2 CANCELING ORIGINAL FORM NO.2
STATEMENT FORM
Date
BELEN 401 Horner Street Belen, NM 87002, (50S) 864-2218
EFFECTIVE
New Mexico Water Service Co. 401 Homer Street Belen, NM 87002
(505) 864-2218
Date ______ _
Charges & Credits Balance
Your Check is Your Receipt
NMWSC Customer Center Contact Information ELEPHANT BUTTE CEDAR CREST 419 Wann Springs Blvd. 12216 N. Highway 14, Bldg C, #9 PO Box 245 PO Box 1515 Elephant Butte, NM 87935 Cedar Crest, ~M 87008 (575) 744-5974 (505) 281-9044
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• AUG 282010 ADVICE NOTICE NO.6
NEW MEXICO WATER SERVICE CO.
~ REPLACED BY NMPRC BY Operation of Law
Cynthia Geran, Controller
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NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
FIRST REVISED FORM NO.3 CANCELING ORIGINAL FORM NO.3
APPLICATION FOR SERVICE
NEW MEXICO WATER SERVICE COMPANY APPLICATION and CONTRACT FOR WATER/SEWER SERVICE
SERVICE ADDRESS:
City COWlty State andlor LEGAL DESCRlPTION OF SERVICE ADDRESS:
SUBDIVISION UNIT BLOCK LOT ___
The undersigned, owner or occupant, hereby applies for waterlsewer service to the above described property effective on and agrees to pay all charges for service to the above property. It is understood and agreed that a
deposit andlor couneetion fee may be required to be paid upon application. Customers are required to notuy the Company in writing, by telephone or verbally of intent to move andlor discootinue waterlsewer service. The above application has been read by me and the conditions stated therein accepted. In accordance with the New Mexico Public Regulation Commissloo (NMPRC), New Mexico Water Service Company operates and abides by the Rules and Regulations approved by the NMPRC. A copy of the rules and regulations is available for review at the New Mexico Water Seryice Company office during normal working hours.
Applicant Name Spouse (or Roommate) Phone: (HOME) Phone: (HOME) (CELL) (CELL) (WORK) (WORK) E-mail Address: E-mail Address:
An Identifier will be required to access your account and protect your personal information. Please provide one (or more) ofthe following (i.e. SS# last four digits, birthdste, drivers license or password) for each person to be listed on the account:
Primary AccoWlt Holder: Other Account Holder: SS# (last 4 digits only) SS# (last 4 digits only) Birthdate Birthdate Password Password
Billing Address (if different from Service Address)
Street City
Rent I Own (please circle one). If renting, please provide landlord information:
Name Address City
In case of emergency (water line break, etc), please notify person listed below: (Family member not Iivil;tg in the home, Neighbor, Friend, or Employer)
Name Address City
State
State
State
Cnstomer Signature Date Employee Signature
Office Use Only
Zip
Zip Phone Number
Zip Phone Number
Date
RouteNumber _____ ...:AccountNumber _______ ~Date Installed, ______ _
MeterNumber _________ -'Readin ... g _______ -'Sel'Viceman~ ____ _
BELEN 401 Horner Street "Belen, NM 87002 (505) 864-2218
EFFECTIVE
NMWSC Customer Center Contact Information ELEPHANT BUTTE CEDAR CREST 419 Warrn Springs Blvd. 12216 N. Highway 14, Bldg C, #9 PO Box 245 PO BoX 1516 Elephant Butte, NM 87935 Cedar Crest, NM 87008 (576) 744-5974 (505) 281-9044
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AUG 28 2010 REPLACED BY NMPRC
ADVICE NOTICE NO.6 NEW MEXICO WATER SERVICE CO.
BY~Qpe~~r~aut~io~n~ouf~l~a~\~AI ____ ~ ~~~~ Cynthia Geran, Controller
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NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
FIRST REVISED FORM NO.4 CANCELING ORIGINAL FORM NO.4
DOOR HANGER
New Mexico Water Service Company
Water System Name Local Office Address Local Office City, State Local Office Phone Local Office Hours
Name/Location. ________ _
Acct # __________ _
This notice has been left by your serviceman for the following reason (please call for further information):
WATER SERVICE
_Customer unknown. Please come to the Customer Center within three (3) days to sign service application to prevent discontinuance of service. For further information, please call number above.
_Service interruption due to repairs.
_Service (will be) (has been) discontinued for delinquent payment. Please call Customer Center at above number for further information. Re~ connection wUl be performed on the day of payment providing payment is received by 2 p.m. Reconnection for payment received after 2 p.m. will be performed the following business day.
Remarks: __________ _
~te ____________ _
Serviceman __________ _
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EFFECTIVE ADVICE NOTICE NO.6
NEW MEXICO WATER SERVICE CO. • AUG 28 2010 REPLACED BY NMPRC
BY Operation of Law
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NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
FIRST REVISED FORM NO.5 CANCELING ORIGINAL FORM NO.5
LATE NOTICE PAGE 1
EFFECTIVE
QUESTIONS? CONTACT US AT (/PREGUNTAS? COMUN1QuESE CON NOSOTROS EN): [District Street Address]
{District City. State, Zip]
{District Phone]
[District Business HOltrs}
Dear XXX:
BILLING NAME (NOMBRE QUE APARECEEN LA FACTURAjo
rel/stomer Name)
ACCOUNT l{UjI.mER (l\VAlERO DECUENTA): [Customer Account Number] SERVICE ADDRESS (Dlf(£CCI6N DEL SERVIC/O): {CIM/omer Service Address]
MAILED ON (EIWlADO POR CORREOEL):
(Mal/jJlgDateJ
According to our records, your water and wastewater bill is past due. Please pay your balance of$X at our office no later than 2 p.m. on [date] to avoid disconnection. If you cannot pay your bHl in full, please contact us to set up a payment plan.
Please note that if your service is discontinued for non-payment, in addition to your balance, a reconnection fee of $XX will be required to restore service. Ifwe receive your payment prior to 2 p.m., we will restore your service the same daYi if we receive it after 2 p.m., we will restore your service the following business day.
We will attempt to notify you two days prior to disconnecting service. We hope you will remit payment or contact us to make payment arrangements in order to avoid disconnection and reconnection fees.
Thank you for your attention to this matter.
Please see back of this notice for additional important infonnation.
Sincerely, New Mexico Water Sel"VJce Company
Estimado(a) XXX:
SegUn nuestros registros, su cuenta de agua y aguas residuales esh\ veneida. Sfrvase pagar Stl saldo de $X en nuestras oficinas a mas tardar el [date] antes de las 2 p.m. para evitar la desconexi6n. 8i no puede pagar el total de su cuenta, comtmlquese con DOSOtroS para establecer un plan de pago.
Tenga presente que si su servicio es interrumpido par falta de pago, adetruis de su saldo, debera pagar un cargo de reconexi6n de $XX para restaurar el servicio. Si recibimos su pago antes de las 2 p.m. restauraremos el servicio el mismo dfa; si 10 recibimos despuCs de las 2 p.m., restaurarem.os el servicio el siguiente dia habil.
Trataremos de notificarle dos dfas antes de desconectar el servicio. Esperamos que envie su pago 0 que se comunique con nosotros para hacer arn:glos de pago de manera de evilar la desconexi6n y los cargos de reconexi6n.
Le agradecemos su atenci6n a este asunto.
Yea por favor atras de esta nota para informacion importante adicional.
Atentamente, New Mexico Water Sel'Vice Company _.-._._._.-._.-._._._._.-.-.-.-.-._._._._._._._._.-._._._.-._.-. Account Number
[Customer- Account Numbe,.j
[Customer Name] [Mailing Address] [City,State,Zip]
[Mailing Bar Cade]
Amount Due MaiIingDate
[Mailing lJ4tej
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AUG 28 2010 ADVICE NOTICE NO.6 NEW MEXICO WATER SERVICE CO.
REPLACED BY NMPRC By_O_p_er_at_io_n_of_La_w""""",,~. ~b,er
;<IGO !.IU\TJ~N
!Gtj :: Ii
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EFFECTIVE • AUG 282010
REPLACED BY NMPRC BY Operation of r aw
NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
FIRST REVISED FORM NO.6 CANCELING ORIGINAL FORM NO.6
LATE NOTICE PAGE 2
If you receive public assistance, please caU your case worker immediately. Also. if there is a third party (relative, friend, agency) that wm help you pay your bill and you want us to notify them when disconnect notices are sent, please let us know.
We will not discontinue service if there are life-threatening conditions at your rcsi· dence or you or a family member has iii serious or chronic illness. In on.iar for you to qualifY. your physician. physician assistant, osteopathic physic~ osteopathic physician assistant, or nurse practitioner must complete, s~ and submit to us a medical certificate. available at out office, lit least two days prior to the scheduled termination date. If:service is discontinued. we will restore it within 12 hours of receiving a completed medical certificate.
If you he.vc questions or concerns about your bi~ please contact one of our customer service representatives. If you dispute a portion ofyolU' bill. please pay the undisputed portion to avoid disconnection. until the clispute is resolved. lfaftcr contacting us you disagree with our determination. you have the right to file a complaint wIth the New Mexico Public Regulation Commission at P.O. Box 1269, Santa Fe, NM~ g7S04~1269, telephone 505-827-6940 or 888-427-5772.
Si usted recibe asistencia ptablica. sfrvase llamar a su trabajador(a} social de inmecHato. Asimismo~ sl alg6n torccro (familiar, amigo, agenda) 10 ayuda a paga:r su cuenta Y usted desea que lc notifiquemos a esa persona 0 D.geIlCia cnando onviemos avisos de desconex160, bAganosJo saber.
m scrvicio no .seri interrumpido si hay condiciones que panen en peligro la vida en au residenoia. 0 51 usted 0 un familiar tiene una cn'fermedad grave 0 cr6nica. Para que usted ca1ifique, su m6dico. asistento m6dico. mtdico oste6pata, uistente del 0&te6pata, o cnfctmera titulada, deber'n lIcnar. finnar y enviamos un certificado m6dic0. disponible en nuestras oticinas,. at menos dos d1as antes de 1a f'echa de term.inaci6n programada. SI au seNicio es intcrrutflpido. 10 restauraremos en las 12 hans slguientes a1 recibo de un certificado mMico debidamente llenado.
81 tiene alguna pregunta 0 inqu1etud some 5U euenta,. hablo COIl uno do nuestros reptosentantcs de seMelo at cliente. 81 est4 en dosacuecdo COD una parte do au cuenta,. sIrvase pager la parte que DO est6. en. disputa para cvitar 1a desconexi6n, hasta que dicha disputa se tesuelva. 8i dcspu6s de comunlCat"SC con nosotros ustcd cst4 en desacuerdo con nucstra decisi6n. tienc cl derecho do presentaT una queja it 1a Cornisi6n do R.cgulaci6n P6.blica de Nuevo M6xico. P.O. Box 1269. Santa Fe~ NM. 87S04~1269~ tel6funo SOS~827-6940 0 888-427-S772.
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ADVICE NOTICE NO.6
NEW MEXICO W~~I::.:..
~a Geran, Controller
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NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
FIRST REVISED FORM NO.7 CANCELING ORIGINAL FORM NO.7 DEFERRED PAYMENT AGREEMENT
.~. NEW MEXICO WATER SERVICE COMPANY 'W' Deferred Payment Agreement
It is agreed by the paliies listed below that the following deferred payment agreement has been entered into on your account. This account will be paid as follows:
Amount Deferred $ Number ofInstalhnents
Monthly Instalhnent Payment $ Due Date of I' Installment
Payment
All subsequent payments must b. in our offic. BEFORE the of each month and must include payment ofth. current water andlor sewer and applicable taxes. Each monthly bill will reflect a contract amount due until all payments have been made.
The following contract agreement is to be signed by you hnmediately upon receipt and returned to New Mexico Water Service Company. You may retain a copy for your records. If the signed contract is not returned hnmediately, then the full contract amount will be due.
1, do agree to the stipulations set forth in the above contract agreement. I undersland that if! do not abide by the terms and conditions of this contract, the AGREEMENT shall be null and void. The total amount will then be due IMMEDIATELY and discontinuance of water and/or sewer service can be enacted.
SIGNED
~~~s~ID-m-er------------------_DATE------______ _
~~~~~~~~ ________ DATE ____________ __ New Mexico Water Service Company
Original: New Mexico Water Service Company Copy: ~stomer
FOR OFFICE USE ONLY:
ACCOUNT NUMBER:
ACCOUNT NAME:
BELEN NMWSC Customer Center Contact Information
401 Horner Street Belen, NM 87002 Phone (505) 864-2218 Fax (505) 864-8438
ELEPHANT BUTTE CEDAR CREST 419 Warm Springs Blvd. 12216 N. Highway 14, Bldg C, #9 PO Box 245 PO Box 1515 Elephant Butte, NM 87935 Cedar Cres~ NM 87008 Phone (575) 744-5974 Phone & Fax (505) 281-9044 Fax (575) 744-5972
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EFFECTIVE • AUG 282010
ADVICE NOTICE NO.6 NEW MEXICO WATER SERVICE CO.
1G0 ULATI@N
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~----rL~ CynthIa Geran, Controller
'lfC~ff,g~~~~~~ BY _____ .......... ~
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NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
FIRST REVISED FORM NO.8 CANCELING ORIGINAL FORM NO.8
SECURITY DEPOSIT
NEW MEXICO WATER SERVICE CO. SECURITY DEPOSIT
(Not Transferable)
Customer Name
Account
SeJ.vice Addms
Billing Address
AtnountReceived "-$ ________ ~Date'___ _______ _
The above amount is received of the above customer as a continuing guafantee to secute payments of all alnounts due this Company.
TERMS OF THIS SECURITI DEPOSIT AREAS FOllOWS:
• Deposit amount bears interest at the statutory tate of interest pet annum. • Deposit atnount fot Residential custOttleJ.1i is not to exceed 1/6 of estimated or actual
annual billing. • Deposit will be promptly refunded or credit when:
o Account bas not been chronically delinquent for. 12-month period. o Account is voluntarily disconnected at the customers tequest.
• Refund will be only to Customer's name sho\vn above.
Customer Signature
Employee Sign.rue
BELEN NMWSC Customer Center Contact Information
401 Horner Street Belen, NM 87002 (505) 864-2218
EFFECTIVE
ELEPHANT BUTTE CEDAR CREST 419 Warm Springs Blvd. 12216 N. Highway 14, Bldg C, #9 PO Box 245 PO Box 1515 Elephant Butte, NM 87935 Cedar Crest, NM 87008 (575) 744-5974 (505) 281-9044
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ADVICE NOTICE NO.6 NEW MEXICO WATER SERVICE CO. AUG 28 2010
REPLACED BY NMPRC BY Operation of "law ----------------~ ~~ Cynthia Geran, Controller
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NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
FIRST REVISED FORM NO.9 CANCELING ORIGINAL FORM NO.9
MEDICAL CERTIFICATE
MEDICAL CERTIFICATE
YOUR RIGHTS ESTABLISHED BY THE PUBLIC REGULATION COMMISSION ARE SHOWN ON THE FINAL NOTICE AND THE ATTACHMENT TO THE FINAL NOTICE.
SUS DERECHOS ESTABLECIOOS POR LA COMISION DE REGULACION PUBLICA SE DEMUESTRAN EN EL AVISO FINAL Y LA LISTA ACOMPANANDO ELAVISO FINAL
CUSTOMER CERTIFICATION
1"--------_-1.., hereby state that I am responsible for payment of the water/sewer bill for
service at __________ In
and that I do not have the financial resources to pay the bill.
Signature: Date:
. MEDICAL CERTIFICATION F----------!.., am a physlcan, physlcan aSSistant, osteopathic physlcla, osteopathic
physiCian aSSistant, or nurs.e practitioner and I hereby certify that discontinuance of water/sewer service
at the residence of ____________________ whoresldes
at _____________ in
might endanger his/her life.
Signature: Date:
PLEASE NOTE: CONTINUANCE OF WATER/SEWER SERVICE UNDER THE ABOVE PROCEDURES DOES NOT RELIEVE YOU OR YOUR OBLIGATION TO PAY THE BILl.
CERTIFICADO DEL CLlENTE !-'Y""O,'--_______ -!.., aqui Indico que soy responsible de hacer page por ml cuenta de
servlclo del agua/drenage en _________________ en
I-------------y que no tengo recursos finanderos para pagar la cuenta.
Firma: Fecha:
CERTIFICACION MEDICA !-'Y"'O,'--_______ -!..' soy un medico, medico asistente, ostipatico, ostiopatlco aslstente,
o enfermera practlca yaquI certlflco que este tlpo de descontlnuaclon de servlclo en la resldencla de
~ ____________ quevween ____________ _
en
Firma:
EFFECTIVE
__________ puede poner en peligro la vida de la persona enferma.
Fecha:
FAVOR DE NOTAR: CONTINUACION DE SERVICIO DELAGUA!DRENAGE EN CUANTO A ESTE PROCEDIMIENTO NO LO ALIVIA DE SU DEBER A PAGAR ESTA CUENTA.
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ADVICE NOTICE NO.6 NEW MEXICO WATER SERVICE CO.
AUG 28 2010
ROEPLACED BY NMPRC BY __ p_e_ra_t_'·o_n...;O;.;"f..:l:.:;;,a.:.::w_~ ~~rb
lON
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NEW MEXICO WATER SERVICE COMPANY CYPRESS GARDENS WATER SYSTEM
ORIGINAL FORM NO. 10
LANDLORD REVERSION p :"-~ 1 t) _ -J .. '.j
New Mexico Water Service Co. Landlord Reversion Authorization
Landlord reversion means that when a vacating tenant requests that his services with New Mexico Water Service Company (NMWSC) be discontinued, the billing reverts to the landlord's name. This prevents an interruption of service and makes the Landlord responsible for paying water bills between tenants.
To discontinue Landlord Reversion or to change the mailing address for the Landlord, the property owner or manager must notify NMWSC in writing.
Please fill in the information below - to initiate a landlord reversion.
Landlord Information:
Name/Business Mailing Address'-------------------
Telephone # ( ) SS # (last 4 digits) ----=D::-a7te-o"""fc::B::-irt""h-----or"""'P=-a-s-sw-o-r-:-d--
Rental Information:
I P""'rtyAdd.M, _________________ _
I understand, that by requesting "Landlord Reversion" on my rental, I will be responsible for any bills incurred between tenants.
I Signature ____________________ _ NamefTitle, ____________________ _
Date
(NMWSC Office Use - Once completed form Is returned, CSR must add a customer contact showing that person has a Landlord Reversion Authorization form on file. Person's Account 10 # Landlord ID # .J Rev. 611110
BELEN 401 Horner Street Belen, NM 87002 Phone (505) 864-2218 Fax (50S) 864-6438
NMWSC Customer Center Contact Information ELEPHANT BUTTE CEDAR CREST 419 Warm Springs Blvd. 12216 N. Highway 14, Bldg C, #9 PO Box 245 PO Box 1515 Elephant Butte, NM 87935 Cedar Crest, NM 87008 Phone (575) 744·5974 Phone & Fax (50S) 281-9044 Fax (575) 744-5972
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EFFECTIVE AUG 28 2010
ADVICE NOTICE NO.6 NEW MEXICO WATER SERVICE CO.
RtfMP!Pt9X ~~r~qv BY _____ -..~ '-"'~/IA~ Cynthia Geran, Controller
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NEW MEXICO WATER SERVICE COMPANY - CYPRESS GARDENS WATER
ADVICE NOTICE
PAGE 1 OF 1
Advice No.5 Date: February 17,2009 -:-'1
NEW MEXICO PUBLIC REGULATION COMMISSION OF THE STATE OF NEW MEXICO
New Mexico Water Service Company hereby gives notice to the public and the Commission of the filing and publishing of the following tariff schedules, which are attached hereto:
Rate No. 1
EFFECTIVE MAR 19 2009
REPLAC~D 9Y NMPRC BY Ru\~ /:iO. 110
Title General Metered Service
Canceling Rate No. Date Effective First Revised Rate March 19, 2009 No.1
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NEW MEXICO WATER SERVICE COMPANY - CYPRESS GARDENS WATER
Advice No.4
ADVICE NOTICE
PAGE 1 OF 1
Date: August 14, 2007
NEW MEXICO PUBLIC REGULATION COMMISSION OF THE STATE OF NEW MEXICO
New Mexico Water Service Company hereby gives notice to the public and the Commission of the filing and publishing of the following tariff schedules, which are attached hereto:
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Rate No. Title Cancelin2 Rate No. Date Effective 1 General Metered Original Rate No.1 September 14, 2007
Service
BY APPROVED L-.-=NEl"-,,N MmCO PUBLIC REGULATION COMMISSION
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NEW MEXICO WATER SERVICE COMPANY - CYPRE:SSC£lIri;E~slJ~'tIR ADVICE NOTICE
Page 1 of 1
Advice No. 3 .. ~. .. ~ ___ ~~. ____ ~D::.:a::::;te~:~Se~p~te~m~b~.e2.r-,,1~9,-,. 2"",0,",,,O~5
NEW MEXICO PUBLIC REGULA nON COMMISSION OF THE STATE OF NEW MEXICO
New Mexico Water Service Company hereby gives notice to the public and the Commission of the filing and publishing of the following sample forms, which are attached hereto:
Form No. Title of Sheet
1 Billing Form
2 Statement Form
3 Application for Service
4 Door Hanger
5 Final Notice
6 Attachment to Final Notice
7 Deferred Payment Agreement
8 Security Deposit
9 Medical Certificate
FOR
OCT 1 2 2005
, ,BY :iPPROVED :;23 - '-IT L.....::~C'\' ";X:.G:1UBL!C REGULATION COMMISSION
Canceling Form No. Date Effective
September 6,2005
September 6, 2005
September 6, 2005
September 6, 2005
September 6, 2005
September 6, 2005
September 6, 2005
September 6, 2005
September 6, 2005
Advice Notice No.3
~1Lv-c-~ Cynt ia Geran Controller
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NEW MEXICO WATER SERVICE COMPANY - CYPRESS GARDENS WATER f;, ~ 7: 4 tt ADVICE NOTICE
Page 1 of 1
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NEW MEXICO PUBLIC REGULA nON COMMISSION OF THE STATE OF NEW MEXICO
New Mexico Water Service Company hereby gives notice to the public and the Commission of the filing and publishing of the following rules and regulations, which are attached hereto:
Rule No. Title Canceling Date Effective Rule No.
1 Preamble to Rules and Regulations September 6, 2005 2 Definitions and Explanations September 6, 2005 3 Character of Service September 6, 2005 4 Application for Service September 6, 2005 5 Rendering of Payment of Bills September 6, 2005 6 Security Deposits, Guarantees of Payment September 6, 2005 7 Disputed Bills September 6, 2005 8 Service Connection September 6, 2005 9 Discontinuance & Denying Restoration of Service SeQtember 6, 2005 10 Responsibility for Water Service Equipment September 6,2005 11 Interruption of Service September 6, 2005 12 Rates and Optional Rates Se~ember 6, 2005 13 Acceptable Standards September 6, 2005 14 Company's Right to Ingress and Egress September 6, 2005 15 Unauthorized Connections Sepjember 6, 2005 16 Stoppage or Obstruction of Service September 6, 2005 17 Temporary and Special Service September 6, 2005 18 Metering Sem;ember 6, 2005 19 Line Extension Policy September 6, 2005 20 Limitations and Restrictions of Use of Water September 6, 2005 21 Settlement Agreements September 6, 2005 22 Commission Complaint Procedures September 6, 2005 23 Estimated Bills September 6, 2005
FOR
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OCT 1 2 2005 Controller
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APPRoveD NEW MEXICC PUBLIC REGULATiON COMMISSIort 1:"" f,I;-'.,~
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• NEW MEXICO WATER SERVICE COMPANY - CYPRESS GARDENS WATER
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ADVICE NOTICE
PAGE 1 OF 1
Advice No.1 Date: September 19,2005
NEW MEXICO PUBLIC REGULATION COMMISSION OF THE STATE OF NEW MEXICO
New Mexico Water Service Company hereby gives notice to the public and the Commission of the filing and publishing of the following tariff schedules, which are attached hereto:
Rate No. 1
2
3
FOR
Title General Metered Service Service Connection Char e Other Charges
\ OCT 1 2 200,
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NEW M[)(leO PUBliC REGiJL~.TION COMN.lvviv ~
Cancelin Rate No. Date Effective September 6, 2005
September 6, 2005
September 6, 2005