Hydrant Account
Process
Following
this page is a one page Bulk Water Agreement and a one page Hydrant Account
Application. If requesting bulk water
service through one of the Town’s hydrants, please first review the Bulk Water
Agreement—this is a sample sheet to show you exactly what kind of charges to
expect in renting hydrant equipment from the Town. If, after taking these expenses into
consideration, you would like to receive bulk water service from the town, please
fill out all information on the Hydrant Account Application.
After
filling out your application, please either fax it to the number below or have
it delivered to: Town of Cary Collections Division, 316 N Academy St, Cary NC 27513. Typically, the Town of Cary can have Hydrant
Applications processed and approved in minutes, as long as your financial
institution cooperates with our verification process. I will call your bank to verify the applicant
has an active account with them, and have found that if the applicant will call
ahead to let their bank know that I will be calling them, they are more willing
to release this info.
Also,
if returning your application by fax, please give me a call so I can process it
immediately!
Thanks!
C.
Eric Schwarzweller
Collections
Account Representative
Town
of Cary
P:
919-319-4552
F:
919-388-1130
BULK WATER
AGREEMENT (FOR INFORMATIONAL PURPOSES
ONLY)
BULK WATER
AGREEMENT (FOR INFORMATIONAL PURPOSES
ONLY)
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Bulk Water Technician |
Date/Time |
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Service Address |
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Customer Information |
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Company Name |
Address |
Billing Address (if different) |
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Phone |
Credit Status: ' Finance
319-4552 |
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Equipment |
Rate |
Total |
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Meter/Backflow Preventer |
$20.00/day (each) |
$ |
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1.5” hose (50’ section) |
$3.00/day (each) |
$ |
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2.5” hose (50’ section) |
$3.00/day (each) |
$ |
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1.5” nozzle |
$4.00/day (each) |
$ |
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Adapter |
$4.00/day (each) |
$ |
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Wrench |
$4.00/day (each) |
$ |
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Date Removed/Checked: |
Time: |
Finish |
Gallons Used |
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Date Installed/Checked: |
Time: |
Start |
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$6.38 per 1,000 gallons (.00638) x
Total Gallons Used |
$ |
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Setup/Relocation Fee ($40.00 per
setup/relocation) |
$ |
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Lost/Damaged Equipment Fees |
$ |
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Total Due |
$ |
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Lost/Damaged Equipment Fees

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Initial if OK when: |
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Item |
Delivered |
Picked Up |
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A. Meter Register |
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B. Gate Valve Handle |
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C. Gate Valve |
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D. NST Bushing |
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E. Meter Handle |
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F. Inlet Coupling |
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Cost
of new meter if lost or stolen is $748.00 and $336.00 for backflow preventer. Prices subject to change
without notice. Meter transactions will be conducted Monday thru Friday,
8 a.m. until 5 p.m.
I
understand that if this meter is used for irrigation purposes the water service
will be terminated.
I
hereby certify that the information listed above is correct to the best of my
knowledge. The above listed company will take responsibility for any and all
damages caused by our usage to either the equipment or the Town of Cary’s water
system.
Checked out by: Print
Name___________________________________
Signature_______________________________
Signed in by: Print
Name___________________________________ Signature__________________________________
Revenue Collector TOWN OF
316
PH:
(919) 319-4552 F: (919) 388-1130
APPLICATION
FOR CREDIT
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Mailing
Address |
Business
Location |
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TOC Privilege License No.: |
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BUSINESS OR PERSONAL
INFORMATION |
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If proprietor list your name
and home address. If partnership list names and home addresses of all
partners. If corporation list name, home address and titles of officers. |
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Name: |
Address: |
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Name: |
Address: |
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Name: |
Address: |
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Name: |
Address: |
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State Sales Tax Number: |
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Federal ID Number: |
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Name-Number of A/P contact: |
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VENDOR
REFERENCES
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Vendor Name: |
Phone: |
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Address: |
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Vendor Name: |
Phone: |
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Address: |
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Vendor Address: |
Phone: |
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Address: |
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BANK REFERENCES
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Bank Name:
Phone: |
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Address: |
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Type of Account:
Account Number: |
Applicant understands payment is due in full thirty (30) days from date of invoice. Applicant also understands that finance charges will
apply if the balance due is unpaid one month from the invoice date. The finance charge is computed by a “Periodic Rate” of 2/3 of one percent per month, which is an annual percentage rate of 9%.
Applicant understands that in the event that legal action
must be instituted to collect this account, Town of
Applicant states that he has read and answered the questions contained on this application for credit and that the information supplied herein is true and accurate to the best of his knowledge and that he is authorized by the applicant to sign on the applicant’s behalf.
________ _______________________ ___________________________
Company Name Date
(Applicant)
________________________________ ___________________________
Signature of Authorized Representative Title