NORTH LEE COUNTY WATER ASSOCIATION BANK DRAFT RECORD WATER

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NORTH LEE COUNTY WATER ASSOCIATION

BANK DRAFT RECORD

WATER

ACCT#: ____________________ NAME: ______________________________________

I give NORTH LEE COUNTY WATER ASSOCIATION permission to:

‫___ Setup a monthly draft to deduct my water bill from my bank account, per voided check.

‪___ Change monthly draft from the existing bank account to a new one, per voided check.

‪___ Stop monthly draft from my bank account effective _______________________ (date).

I understand that if for any reason my account is closed or my number is changed, I must notify NORTH LEE COUNTY WATER ASSOCIATION. I also agree to be responsible for handling any fees if my draft is returned unpaid due to insufficient funds, stop payment or closed account.

Date: _______________ Signature: _______________________________________________

Initials: ______________

100 NORTH SENATE AVENUE ROOM N642 INDIANAPOLIS INDIANA 46204
11 UNIVERSITY OF NORTH CAROLINA AT WILMINGTON SCHOOL OF
113 NORTHERN CENTRAL AMERICAN CERAMIC UNITS AND THE LAND

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