HomeMy WebLinkAboutResolution #3389c~iPs
Csntrai Illinois Public Ssrvlcs Company
~~3389 •
REQUEST FOR STREET LIGHTING
ADDITIONS, REMOVALS AND REPLACEMENTS
Municipality: CG~.nTo ~
Address: Z/O ~ Gh esf~K f
Contact Name: SNso~ f-/a~,s~cr
BY~ !" ~ Ci ~:~r,~~~~~~z Mayor/President Date: ~ ~' -- ~~
Clerk Date: ~^~ ~"7
Please make the following changes to street and traffic lighting facilities and adjust CIPS billing
as shown below. The change in service is requested pursuant to the provisions of the Company's
Rate 11 -Street and Traffic Lighting Service and General Terms and Conditions.
Install or
Location: Remove....
Install City or Date
Pole #, Map #, or # of Company Monthly (GIPS Use
Street Address Remove Units Size & T e of Unit Owned Price Total Onl )
er Sf ! *" 1h f ~ ~ _ 3p ~7. 3O
,. t~ ~ ~ o' ~d 7.30 ~ .
-~ s~ o s Cd v ~ . io
Telephone No: 309- by7- OobS
Total Adjustment to Monthly Billing -Subject to GIPS Verification
(excluding applicable tax) ~Z • ~O
Remarks T~ie~ L
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