Date:_____________________________________
To: ______________________________________
Service address: ____________________________
Account or invoice number(s): _________________
Date(s) of service: ___________________________
Amount past due: ____________________________
You are hereby notified that water or sewer service fees (or both) owed by you are in default. In accordance with Section 17B-1-902, Utah Code Annotated, if you do not pay the past due amount within 15 days from the day on which this notice was mailed to you, you are liable for the past due amount together with collection costs of $20.
You are further notified that if you do not pay the past due amount and the $20 collection costs within 30 calendar days from the day on which this notice was mailed to you, an appropriate civil legal action may be filed against you for the past due amount, interest, court costs, attorney fees, and damages in an amount equal to the greater of $100 or triple the past due amounts, but the combined total of all these amounts may not exceed $200 if your property is residential.
(Signed) _______________________________________
Name of special district _____________________________
Address of special district ___________________________
Telephone number of special district ___________________
Utah Code § 17B-1-904