"You are hereby authorized and directed
to shut off the supply of water to the premises located at (give address)
for the reason that (name of owner or occupant), owner or occupant
(strike out one) of the above premises has neglected or failed to
pay for a period of 30 days from the date thereof, a rental rate or
charge for sewer, sewage or sewage treatment service imposed by the
Allegheny County Sanitary Authority.
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"I certify that the owner or occupant
of the premises above set forth is the person responsible for payment
of the overdue charge and that such rentals, rates or charges are,
in fact, overdue.
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"I certify that the above claim
or lien for the aforesaid service or services has been assigned by
the Allegheny County Sanitary Authority to the Borough of Mount Oliver.
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"I further certify that written
notice to the effect that the water supply would be shut off at the
above premises was mailed to ____________________ owner or occupant
(strike out one), at (address) on (date), and further, that a written
notice to the effect that the water supply would be shut off at the
above premises was posted at main entrance to the aforesaid premises
on (date) by (name of poster). Copies of the notice sent and the notice
posted are attached hereto and made part hereof.
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"I further certify that no written
notice has been given the Borough of Mount Oliver or the Allegheny
County Sanitary Authority stating that _______________, the aforesaid
owner or occupant, has a defense to the aforesaid overdue sewage rentals,
rates and charges."
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Authorized Officer
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