APPLICANT CERTIFICATION: The undersigned certifies that s/he is a resident of Iliamna, has lawful authority to sign this application, and agrees to pay the applicable rates and abide by the terms and conditions as prescribed by the Iliamna Village Council. Acceptance of this application by the Iliamna Village Council constitutes a contract between the Iliamna Village Council "Iliamna Landfill Waste Management" and the applicant. All cost incurred by Iliamna Landfill Waste Management for collection of any unpaid accounts shall be paid by the applicant.
The Iliamna Village Council reserves the right to require a deposit on account or to request payment at the time of applying for this account. All fees shall be the obligation of the disposing party. Disposers shall be issued an invoice at the time of application with payment due immediately. If the account falls into arrears of 30 days, further use of the Iliamna Landfill Waste Management account may be denied or suspended until the amounts due, including collection expenses and late fees, are paid in full. Continuously delinquent accounts may result in the revocation of Iliamna Landfill Waste Management privileges.
Charges cannot be made at the Iliamna Landfill unless a valid Iliamna Landfill charge card or payment receipt is presented to the attendant at the time of disposal. The Iliamna Landfill has the right to deny the use of charge cards at its facilities if payment is delinquent.
I hereby declare that the information provided is true, accurate, and complete to the best of my knowledge and belief and is voluntarily submitted for the purpose of receiving Iliamna Landfill Waste Management services. It is understood that upon presentation, this application becomes Iliamna Village Council property. I also certify that I am eighteen (18) years of age of older.
I understand that my charge account should be protected from unauthorized users and that I will be held responsible for any charges occurring on my account unless I have notified in writing, the Iliamna Village Council “Iliamna Landfill Waste Management” to cancel the cards/account. Charge cards issued to me may not be loaned or used by any other disposer unless the Iliamna Landfill Waste Management Director authorizes the use prior to any loads being brought into the ILIAMNA LANDFILL facility.
I will abide by all ordinances and rules of the services provided to me.
