Service Address Account Number  Customer Name Mailing Address City, State, Zip Code

PLEASE RETURN THIS PORTION TO: 100 CIVIC CENTER PLAZA PLEASE MAKE CHECKS PAYABLE TO: CITY OF LOMPOC  ACCOUNT NUMBER: ACCOUNT BALANCE: PAST AMOUNT DUE: AMOUNT DUE: DUE DATE:  XX-XXXX-XX $XXX.XX $XXX.XX $XXX.XX XXXXXX Customer Name Mailing Address City, State, Zip Code

UTILITY NOTICE   100 CIVIC CENTER PLAZA LOMPOC, CA 93436 805-736-1261 HAVE YOU OVERLOOKED YOUR UTILITY BILL? NOTICE OF DELINQUENCY & IMPENDING TERMINATION LOMPOC UTILITY SERVICES Customer Name                    Notice Date Mailing Address City, State, Zip Code SERVICE ADDRESS: XXXXXXXXX ACCOUNT NUMBER: XXXXXXXXX ACCOUNT NUMBER: ACCOUNT BALANCE: PAST AMOUNT DUE: AMOUNT DUE: DUE DATE: XX-XXXX-XX $XXX.XX $XXX.XX $XXX.XX XXXXXX OUR RECORDS SHOW THE TOTAL OWING ON YOUR ACCOUNT IS  $XXX.XX . OF THAT AMOUNT  $XXX.XX  IS PAST DUE.  THIS PAST DUE AMOUNT WAS ORIGINALLY DUE ON XXXXX. THE LAST PAYMENT RECEIVED WAS  $XXX.XX  . PAYMENT OF THE PAST DUE AMOUNT MUST BE RECEIVED ON OR BEFORE XXXXXX  OR SERVICE MAY BE DISCONTINUED. IF OUR RECORDS ARE INCORRECT, PLEASE CONTACT US.  THANK YOU.

ACCEPTABLE FORMS OF PAYMENT

Cash, personal check (no two party checks), money order or bank cards with a Visa or MasterCard logo. Payments must be made in our office during regular business hours, by mail, by phone (bank cards only) or in the drop box.

Payments made in the drop box after 8:00AM will not be processed until the following work day.

DISPUTES / COMPLAINTS

Within 5 days of receipt of your bill, you may request an investigation of any charges you may dispute.

1. You may contact the utility billing department and request such an investigation by calling 805-736-1261. Ext. 8246, 8247 or 8250.
2. You may appear in person at the treasury department, 100 Civic Center Plaza, Lompoc to request such an investigation.

PAYMENT ARRANGEMENTS

Within 13 days of this notice, you may request payment arrangements for the delinquent charges subject to the following provisions:

1. Arrangements must be made at our office by the person whose name appears on this bill, 100 Civic Center Plaza, Lompoc. Proof of identification will be required.
2. Arrangements may be made by fax. To set up a fax arrangement, call 736-1261, Ext. 8246, 8247 or 8250.
3. Arrangements must be made prior to termination date.
4. A payment arrangement schedule may be made for a reasonable time, provided the customer pays subsequent month's bills when due and the agreed upon past due by the specified date.

FINANCIAL ASSISTANCE

1. Information on availability of financial assistance for utility may be obtained by calling the City of Lompoc at 805-875-8298 or 805-875-8252.
2. Information on availability of financial assistance for utility bills may be obtained by calling Community Action Commission 800-655-0617.