SECURITY LIGHT CONTRACT ----------------------- Lights for the purpose of area or yard lighting are available to all customers. The lights, which are owned, operated and maintained by the Utility, can be installed on existing utility poles or utility poles or utility approved poles or structures furnished by the customer. Any necessary extension of the Utility's power supply beyond one pole span or all of the customer's metered power supply will be at the expense of the customer. Connection fee: A charge of $30.00 plus tax for installation in advance. Rate: ______________ per unit, per month, payable monthly for monthly customers. ______________ twice a year, payable in advance, for seasonal customers. Payment: Bills are due when rendered. Bills are delinquent after 15 days, service will be subject to disconnection for non-payment. Regulations: General rules and regulations of the Utilities govern use under this schedule. The Utilities reserve the right to adjust the rate schedule at any time. I hereby apply for a security light to be installed at address listed below. I understand the terms of this service. Customer's Signature: _________________________________________________ Customer's Name: ______________________________________________________ Customer's Address: ___________________________________________________ Customer's Mailing Address: ___________________________________________ Account Number: _______________________________________________________ Date: _________________________________________________________________ The above security light was installed on: ____________________________ The above security light was installed by: ____________________________