Ill. Admin. Code tit. 83, § 735.APPENDIX A
| IMPORTANT! READ THIS IMMEDIATELY | ||||||||||||||||||||||||||||
| UTILITY NAME | CUSTOMER | |||||||||||||||||||||||||||
| ADDRESS | ||||||||||||||||||||||||||||
| CITY, STATE, ZIP | ADDRESS | |||||||||||||||||||||||||||
| PHONE # | ||||||||||||||||||||||||||||
| ACCOUNT # | ||||||||||||||||||||||||||||
| YOUR | (Utility) | SERVICE WILL BE DISCONTINUED ON OR AFTER | ||||||||||||||||||||||||||
| (Date) | . BECAUSE: | |||||||||||||||||||||||||||
| YOU OWE | $ | IN PAST DUE BILLS | ||||||||||||||||||||||||||
| YOU OWE | $ | FOR A DEPOSIT FOR TELEPHONE SERVICE | ||||||||||||||||||||||||||
| OTHER | (Specify) | |||||||||||||||||||||||||||
| TO AVOID DISCONTINUANCE OF | (Utility) | SERVICE, YOU MUST PAY | ||||||||||||||||||||||||||
| $ | BEFORE | (Date) | . | |||||||||||||||||||||||||
| *** | If you cannot pay the whole amount now, you may be able to get a payment plan | |||||||||||||||||||||||||||
| with | (Utility Name) | . Call us at Phone # | for more information. | |||||||||||||||||||||||||
| *** | (Utility name) | has employees on duty from | A.M. to | P.M. | ||||||||||||||||||||||||
| to answer your questions or listen to your complaints. If you do not understand why | ||||||||||||||||||||||||||||
| you owe this money, or if you think there has been a mistake, call | (Utility Name) | |||||||||||||||||||||||||||
| at Phone # | , as soon as possible. If the person you talk to cannot help | |||||||||||||||||||||||||||
| you, ask to talk to a supervisor. If the supervisor cannot help you, call the Consumer Affairs Division of the Illinois Commerce Commission at 312-793-2887 (Chicago) or 217-782-2024 (Springfield). Call before you are Discontinued! | ||||||||||||||||||||||||||||
| *** | IMPORTANT: If your services are Discontinued, you will have to pay | |||||||||||||||||||||||||||
| $ | before your service will be turned on again. | |||||||||||||||||||||||||||
| (Printed on Red Paper) | ||||||||||||||||||||||||||||
| Reverse Side (Printed on Red Paper) | ||||||||||||||||||||||||||||